GATEWAY BEHAVIORAL HEALTH SERVICES


Address: 750 Tupelo Trail, Hinesville, GA 31313
Phone: 9128772060

GATEWAY BEHAVIORAL HEALTH SERVICES (NPI# 1922138411) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1922138411
Entity Type Organization
Organization Name GATEWAY BEHAVIORAL HEALTH SERVICES
Practice Address 750 Tupelo Trail
Hinesville
GA 31313
Mailing Address 700 Coastal Village Dr
Brunswick
GA 31520-1974
Practice Telephone 9128772060
Practice Fax Number 9128772064
Mailing Telephone 9122640979
Mailing Fax Number 9122645965
Enumeration Date 2007-03-06
Last Update Date 2011-09-27
Authorized Official Name MR. WILLIAM PARKS (CHIEF FINANCIAL OFFICER)
Authorized Official Telephone 9125548464
Authorized Official Credential CPA CFO
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251S00000X Community/Behavioral Health Agencies

Other Provider Identifier

State Issuer Identifier Type Code
GA 000606339U 05

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1295373090 Gateway Behavioral Health Services Community/Behavioral Health 2121 East Derenne Ave, Savannah, GA 31406 2019-12-12
1619519709 Gateway Behavioral Health Services Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 516 Freedom Trl, Brunswick, GA 31525-4712 2019-10-10
1902451693 Gateway Behavioral Health Services Community/Behavioral Health 210 E 15th St Ste A, Woodbine, GA 31569-5501 2019-08-08
1497042303 Gateway Behavioral Health Services Community/Behavioral Health 2 Lodge Rd, Hwy 17 North, Brunswick, GA 31525-2011 2011-06-30
1366737330 Gateway Behavioral Health Services Community/Behavioral Health 3441 Cypress Mill Rd, Brunswick, GA 31520-2878 2011-06-17
1750672242 Gateway Behavioral Health Services Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 6055 New Jesup Hwy, Brunswick, GA 31523-1629 2011-05-02
1497054522 Gateway Behavioral Health Services Counselor 3 Oglethorpe Professional Blvd, Savannah, GA 31406-3603 2011-03-15
1124254321 Gateway Behavioral Health Services Community Based Residential Treatment Facility, Mental Illness 121 Burgess Rd, Brunswick, GA 31523-9311 2009-06-03
1558595983 Gateway Behavioral Health Services Community/Behavioral Health 3045 Scarlett Street, Brunswick, GA 31520-1251 2009-05-13
1356587224 Gateway Behavioral Health Services Counselor 515 E. 63rd Street, Suite 1, Savannah, GA 31405 2008-12-26

Other Data Sources

Entity Type Entity Name Entity Address
System for Award Management (SAM) Entities GATEWAY BEHAVIORAL HEALTH SERVICES 600 Coastal Village Dr, Brunswick, GA 31520-1973

Office Location

Street Address 750 TUPELO TRAIL
City HINESVILLE
State GA
Zip Code 31313

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1447877469 Brennan Roger Milbury Naturopath 4876 Ga 196 W, Hinesville, GA 31313 2020-06-26
1558982660 Hinesville Day Spa LLC Massage Therapist 951 E G Miles Pkwy, Suite B, Hinesville, GA 31313 2020-04-29
1104459932 Johnny Roger Terry Counselor 115 W Oglethorpe Hwy, Hinesville, GA 31313 2020-02-20
1043875594 Liberty Regional Medical Center Pharmacy 462 Elma G. Miles Parkway, Hinesville, GA 31313 2019-05-09
1730646811 Jennifer Lee Reffeor Nurse Practitioner 109 W Oglethorpe Highway, Hinesville, GA 31313 2019-02-26
1760907968 Kenya Dominic Specialist 445 E.g. Miles Parkway Ste 207, Hinesville, GA 31313 2017-08-08
1902358393 Tricia Amelung Nurse Practitioner 512 South Main St., Suite 1a, Hinesville, GA 31313 2016-11-01
1881065449 Wal-mart Stores East Lp Durable Medical Equipment & Medical Supplies 801-a East General Stewart Way, Hinesville, GA 31313 2015-10-08
1245614916 Tracey Bazemore Counselor 318 S. Wellborn Street, Suite C, Hinesville, GA 31313 2015-07-13
1831592021 Jennifer Grisnik Behavioral Analyst 306 N. Main St., Suite 1a1, Hinesville, GA 31313 2014-10-01
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Taxonomy Information

Taxonomy Code 251S00000X
Grouping Agencies
Classification Community/Behavioral Health

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1689859340 Malinda Graham and Associates Community/Behavioral Health 1518 Airport Rd, Hinesville, GA 31313-9439 2007-12-31
1679017289 Paths Forward Community/Behavioral Health 1011 Varnedoe St, Hinesville, GA 31313-5259 2016-12-15
1053855155 Ga Integrated Therapeutic Perspectives Community/Behavioral Health 407 N Main St, Hinesville, GA 31313-2509 2016-12-07
1194842666 Greener Pastures Inc Community/Behavioral Health 445 Eg Miles Pkwy, Suite 106, Hinesville, GA 31313-3230 2007-03-22
1629101415 Gateway Ctr for Human Development Community/Behavioral Health 322 N Main St, Hinesville, GA 31313-2508 2007-03-13
1740319359 Gateway Behavioral Health Services Community/Behavioral Health 1113 E Oglethorpe Hwy, Hinesville, GA 31313-1200 2007-03-02

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1699376160 Love, Breanna Olivia Zion Enterprise,llc(lboz): Community/Behavioral Health 9802 N Ivy Park Dr, Fortson, GA 31808-7130 2020-11-02
1578170882 Helping Hearts Behavioral Health Services, LLC Community/Behavioral Health 504 Hamlet Dr, Hampton, GA 30228-4829 2020-09-30
1982219523 Future Seekers, Inc. Community/Behavioral Health 3475 N. Desert Drive, Building 1, Suite 2100, East Point, GA 30344-3034 2020-09-10
1396359840 Just Like Family Caregivers Community/Behavioral Health 2628 Lovejoy Crossing St, Hampton, GA 30228-5995 2020-09-02
1285247270 Hudu Yoga & Therapy Community/Behavioral Health 3900 Springleaf Ct, Stone Mountain, GA 30083-4692 2020-08-28
1952914632 Brighter Dayz, Incorporated Community/Behavioral Health 1016 Howell Mill Rd Nw Apt 4408, Atlanta, GA 30318-5592 2020-08-24
1699387688 Rise Rehabilitation Services, LLC Community/Behavioral Health 738 Highland Park Trl, Atlanta, GA 30350-6706 2020-08-20
1104438373 Pivotal Counseling LLC Community/Behavioral Health 75 N Broad St, Winder, GA 30680-1907 2020-08-19
1295347888 Freemans Early Intervention Services Community/Behavioral Health 13 Peach St, Butler, GA 31006 2020-08-17
1861017634 Trinity Care Counseling Community/Behavioral Health 3475 Northwinds Parkway, 200, Alpharetta, GA 30009 2020-06-08
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Competitor

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City HINESVILLE
Zip Code 31313

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Dataset Information

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.

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