UNISON BEHAVIORAL HEALTH (NPI# 1902943046) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902943046 |
| Entity Type | Organization |
| Organization Name | UNISON BEHAVIORAL HEALTH |
| Other Organization Name | SATILLA COMMUNITY SERVICES |
| Practice Address |
310 Williams Street Waycross GA 31503 |
| Mailing Address |
1007 Mary Street Waycross GA 31503 |
| Practice Telephone | 9124497100 |
| Practice Fax Number | 9124497056 |
| Mailing Telephone | 9124497100 |
| Mailing Fax Number | 9124497056 |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2013-07-25 |
| Authorized Official Name | MR. ALLEN BROWN (CEO) |
| Authorized Official Telephone | 9124497100 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 000606295AA | 05 |
| Other Name | Type Code |
|---|---|
| Satilla Community Services | Former Legal Business Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811528649 | Unison Behavioral Health | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 211 North Street, Douglas, GA 31533 | 2020-01-30 |
| 1336411008 | Unison Behavioral Health | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 118 Coweta Avenue South, Douglas, GA 31533 | 2012-01-27 |
| 1427368539 | Unison Behavioral Health | Counselor | 551 Old Pearson Rd, Homerville, GA 31634-1724 | 2010-10-08 |
| 1003125287 | Unison Behavioral Health | Community/Behavioral Health | 396 Kingsland Dr, Folkston, GA 31537-2850 | 2010-10-05 |
| 1801051297 | Unison Behavioral Health | Substance Abuse Rehabilitation Facility | 3455 Harris Road, Waycross, GA 31503 | 2008-07-24 |
| 1619014651 | Unison Behavioral Health | Community/Behavioral Health | 1005 Shirley Ave, Douglas, GA 31533 | 2007-01-31 |
| 1164569190 | Unison Behavioral Health | Day Training, Developmentally Disabled Services | 636 E Austin Ave, Suite 3, Pearson, GA 31642 | 2007-01-31 |
| 1154468106 | Unison Behavioral Health | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 104 W Austin Avenue, Pearson, GA 31642 | 2007-01-31 |
| 1962549253 | Unison Behavioral Health | Day Training, Developmentally Disabled Services | Rr 1 Box 3010, Folkston, GA 31537 | 2007-01-30 |
| 1073650115 | Unison Behavioral Health | Community/Behavioral Health | 1003 Mary Street, Waycross, GA 31503 | 2007-01-30 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | UNISON BEHAVIORAL HEALTH GROUP, INC. | 1425 Starr Ave, Toledo, OH 43605-2456 |
| Street Address |
310 WILLIAMS STREET |
| City | WAYCROSS |
| State | GA |
| Zip Code | 31503 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437381605 | Unison Behavioral Health | Community/Behavioral Health | 310 Williams Street, Waycross, GA 31503 | 2009-08-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770855868 | Bertha Richardsaon | Community/Behavioral Health | 1614 Carswell Ave, Waycross, GA 31503 | 2012-02-03 |
| 1134365893 | Carla Pye Winn | Nurse Practitioner | 1003 Mary St, Waycross, GA 31503 | 2008-12-31 |
| 1801051297 | Unison Behavioral Health | Substance Abuse Rehabilitation Facility | 3455 Harris Road, Waycross, GA 31503 | 2008-07-24 |
| 1073650115 | Unison Behavioral Health | Community/Behavioral Health | 1003 Mary Street, Waycross, GA 31503 | 2007-01-30 |
| 1588701635 | Unison Behavioral Health | Community/Behavioral Health | 2033 Bell Street, Waycross, GA 31503 | 2007-01-30 |
| 1801933957 | Unison Behavioral Health | Day Training, Developmentally Disabled Services | 3201 Harris Road, Waycross, GA 31503 | 2007-01-30 |
| 1285770578 | Unison Behavioral Health | Community/Behavioral Health | 305 N Nicholls Street, Waycross, GA 31503 | 2007-01-30 |
| 1538223672 | Diversified Resources, Inc. | Case Manager/Care Coordinator | 147 Knight Ave Cir, Waycross, GA 31503 | 2006-12-21 |
| 1669578167 | James Gregory Morris | Dentist | 2458 Memorial Drive, Waycross, GA 31503 | 2006-09-15 |
| 1134608367 | Latoya Lasha Woodard | Counselor | 1007 Mary Street, Waycross, GA 31503 | 2018-08-08 |
| Find all providers in zip 31503 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699185108 | Integral Care Network, LLC | Community/Behavioral Health | 200 N Nicholls St, Waycross, GA 31502-1344 | 2014-05-06 |
| 1841626140 | Garden Gate | Community/Behavioral Health | 852 Tiffany Ln, Waycross, GA 31503-0155 | 2013-09-18 |
| 1730454760 | Thomastine Mcgill | Community/Behavioral Health | 201 N Crawford St, Waycross, GA 31503-3932 | 2012-03-08 |
| 1851663074 | Ernestine Nelson | Community/Behavioral Health | 701 Reed St, Waycross, GA 31501-2931 | 2012-02-03 |
| 1750653978 | Flora Brown | Community/Behavioral Health | 821 Cedar St, Waycross, GA 31501-6410 | 2012-02-03 |
| 1881966018 | Christine Smith | Community/Behavioral Health | 908 Cedar St, Waycross, GA 31501-6440 | 2012-02-03 |
| 1225300452 | Supportive Employment | Community/Behavioral Health | 201 Brunel St, Waycross, GA 31501-2216 | 2012-02-03 |
| 1023380243 | Yvonne Thomas | Community/Behavioral Health | 606 Crescent St, Waycross, GA 31501-6321 | 2012-02-03 |
| 1942572169 | Jane Blalock | Community/Behavioral Health | 709 Carswell Ave, Waycross, GA 31501-4756 | 2012-02-03 |
| 1770855868 | Bertha Richardsaon | Community/Behavioral Health | 1614 Carswell Ave, Waycross, GA 31503 | 2012-02-03 |
| Find all providers in WAYCROSS | ||||
Please comment or provide details below to improve the information on UNISON BEHAVIORAL HEALTH.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.