BETHANY CHRISTIAN SERVICES (NPI# 1912447897) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912447897 |
| Entity Type | Organization |
| Organization Name | BETHANY CHRISTIAN SERVICES |
| Practice Address |
188 Ben Burton Cir Unit 100 Bogart GA 30622-6802 |
| Practice Telephone | 7066213317 |
| Practice Fax Number | 7702743000 |
| Mailing Telephone | 7066213317 |
| Mailing Fax Number | 7702743000 |
| Enumeration Date | 2017-02-27 |
| Last Update Date | 2017-02-27 |
| Authorized Official Name | NONYEM A DRAYTON (DIRECTOR) |
| Authorized Official Telephone | 7704557111 |
| Is Organization Subpart | Y |
| Parent Organization Name | BETHANY CHRISTIAN SERVICES |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699328781 | Bethany Christian Services | Marriage & Family Therapist | 230 Great Circle Rd Ste 229, Nashville, TN 37228-1732 | 2019-07-18 |
| 1548792047 | Bethany Christian Services | Social Worker | 706 Warwick Ave, Warwick, RI 02888-2670 | 2017-04-03 |
| 1235590043 | Bethany Christian Services | Social Worker | 892 Marshall St, Allegan, MI 49010-1637 | 2016-03-08 |
| 1386067445 | Bethany Christian Services | Social Worker | 287 Independence Blvd Ste 241, Virginia Beach, VA 23462-2956 | 2014-01-27 |
| 1760728182 | Bethany Christian Services | Social Worker | 3000 S Race St, Denver, CO 80210-6331 | 2012-12-13 |
| 1275813453 | Bethany Christian Services | Community/Behavioral Health | 1050 36th St Se, Grand Rapids, MI 49508 | 2011-08-19 |
| 1508186768 | Bethany Christian Services | Social Worker | 7172 Graham Rd, Indianapolis, IN 46250-2649 | 2010-06-10 |
| 1770749079 | Bethany Christian Services | Counselor | 210 E Washington St, Jackson, MO 63755-1448 | 2008-08-06 |
| 1356509657 | Bethany Christian Services | Foster Care Agency | 7827 Old York Road, Elkins Park, PA 19027-2508 | 2008-05-23 |
| 1851593925 | Bethany Christian Services | Community/Behavioral Health | 19936 Ballinger Way Ne, Suite D, Shoreline, WA 98155-1223 | 2007-06-01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | BETHANY CHRISTIAN SERVICES | 183 High St, Candia, NH 03034 |
| Iowa Business Entities | BETHANY CHRISTIAN SERVICES | 901 Eastern Ave Ne, Po Box 294, Grand Rapids, MI 49501-0294 |
| Colorado Business Entities | BETHANY CHRISTIAN SERVICES | 901 Eastern Ave Ne, Grand Rapids, MI 49503 |
| Massachusetts Corporations | BETHANY CHRISTIAN SERVICES | Po Box 294, 901 Eastern, Grand Rapids, MI 49501 |
| System for Award Management (SAM) Entities | BETHANY CHRISTIAN SERVICES GLOBAL, LLC | 901 Eastern Ave Ne, Grand Rapids, MI 49503-1201 |
| System for Award Management (SAM) Entities | BETHANY CHRISTIAN SERVICES OF ARKANSAS | 1100 N University Ave Ste 66, Little Rock, AR 72207-6300 |
| Indiana Business Entities | BETHANY CHRISTIAN SERVICES OF CENTRAL INDIANA | 901 Eastern Ave Ne, Po Box 294, Grand Rapids, MI 49501 |
| System for Award Management (SAM) Entities | BETHANY CHRISTIAN SERVICES OF CENTRAL PENNSYLVANIA | 1681 Crown Ave Ste 201, Lancaster, PA 17601-6303 |
| System for Award Management (SAM) Entities | BETHANY CHRISTIAN SERVICES OF COLORADO | 2821 S Parker Rd Ste 425, Aurora, CO 80014-2710 |
| Colorado Business Entities | BETHANY CHRISTIAN SERVICES OF COLORADO | 901 Eastern Ave Ne, Grand Rapids, MI 49503 |
| Street Address |
188 BEN BURTON CIR UNIT 100 |
| City | BOGART |
| State | GA |
| Zip Code | 30622-6802 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780108266 | Catherine Colquitt | Specialist/Technologist | 1081 Rocky Branch Rd, Bogart, GA 30622 | 2017-07-27 |
| 1154864775 | Hampton Valley Health Center, Inc. | Chiropractor | 2881 Monroe Highway, Suite 701, Bogart, GA 30622 | 2016-11-30 |
| 1740298728 | Thomas W Mccormack Jr. | Psychiatry & Neurology | 1361 Jennings Mill Road, Building 200 Suite 201, Bogart, GA 30622 | 2006-08-04 |
| 1659308872 | Blue Laser Group | Ophthalmology | 1747 Langford Drive, Building 400, Suite 101, Bogart, GA 30622 | 2006-06-26 |
| 1225076821 | Pruitthealth Hospice, Inc. | Hospice Care, Community Based | 1751 Meriweather Dr, Bogart, GA 30622 | 2006-06-03 |
| 1205837374 | Terrance L Hughes | Specialist | 1500 Langford Medical Dr., Bldg 200, Bogart, GA 30622 | 2005-08-10 |
| 1922590892 | Inside Out Therapy Services | Occupational Therapist | 1450 Eden Ave, Bogart, GA 30622 | 2018-06-05 |
| 1144517038 | Gentry Broach Tolbert | Nurse Practitioner | 1500 Langford Medical Drive, Bldg 200, Bogart, GA 30622 | 2011-06-30 |
| 1083736961 | Edward J Fisher Jr Md Inc | Psychiatry & Neurology | 1361 Jennings Mill Rd, Bldg 200 Ste 201, Bogart, GA 30622 | 2007-04-04 |
| 1760504641 | Andrew Philip Heidesch | Marriage & Family Therapist | 1361 Jennings Mill Road, Suite 201, Bogart, GA 30622 | 2007-04-04 |
| Find all providers in zip 30622 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518598762 | Michelle Durrett | Social Worker | 1540 Binghampton Cir, Bogart, GA 30622-3336 | 2020-01-27 |
| 1093102675 | Savannah Leigh Smith | Social Worker | 1561 Lenru Rd, Bogart, GA 30622-3334 | 2015-04-21 |
| 1568686616 | Dennis Caughy | Social Worker | 4600 Heather Ln, Bogart, GA 30622-5384 | 2007-04-12 |
| 1780738732 | Tina Tinsley | Social Worker | 255 Chulitna Way, Bogart, GA 30622-5116 | 2007-01-23 |
| 1992039796 | Kimberly Horner | Social Worker | 1751 Meriweather Dr Bldg B, Bogart, GA 30622-3092 | 2009-09-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700487782 | Lora Christi Dukes | Social Worker | 612 Kenwood Dr, Waycross, GA 31501-6904 | 2020-11-05 |
| 1619578051 | Pamela D Kretzmer | Social Worker | 3855 Shallowford Road, Suite 420, Marietta, GA 30062 | 2020-11-03 |
| 1326647629 | Sheba Phillips | Social Worker | 2402 Orlando Dr, Valdosta, GA 31602-1921 | 2020-10-19 |
| 1144829482 | Jennifer M Sublett | Social Worker | 1721 Sterling Cir, Cairo, GA 39828-4501 | 2020-10-19 |
| 1023617495 | Anita S White | Social Worker | 981 Cleveland Ave, Atlanta, GA 30344-6717 | 2020-10-18 |
| 1700484102 | Nicole Elisabeth Kohl | Social Worker | 70 Sunbury Ct, Richmond Hill, GA 31324-9621 | 2020-10-16 |
| 1629676333 | Christiana Oluwatoyin Sonuga | Social Worker | 699 Clairidge Elm Trl, Lawrenceville, GA 30046-7753 | 2020-10-14 |
| 1407454663 | Danielle Deane | Social Worker | 1655 Grayson Hwy Apt 6307, Grayson, GA 30017-1133 | 2020-10-10 |
| 1306443304 | Holly Stuckey | Social Worker | 5748 Pine Oak Dr, Norcross, GA 30092-3508 | 2020-10-04 |
| 1316544323 | Summer Al-majed | Social Worker | 180 Shore Dr, Suwanee, GA 30024-2940 | 2020-10-02 |
| Find all providers with the same taxonomy | ||||
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| 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.