PROVIDENCE RESIDENTIAL & OUTPATIENT PTSD SERVICES (PROPS) NPI 1336480201

NPI Information

NPI: 1336480201
Provider Name: PROVIDENCE RESIDENTIAL & OUTPATIENT PTSD SERVICES (PROPS)
Classification: Community Based Residential Treatment Facility, Mental Illness - 320800000X
Entity Type: Organization
Address:
3400 CHAPEL HILL RD
SUITE 100 PMB #08
DOUGLASVILLE, GA
ZIP 30135
Phone: (678) 882-5371
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PROVIDENCE RESIDENTIAL & OUTPATIENT PTSD SERVICES (PROPS) is a community based residential treatment facility mental illness in Douglasville, GA. The provider is a home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. PROVIDENCE RESIDENTIAL & OUTPATIENT PTSD SERVICES (PROPS) NPI is 1336480201. The provider is registered as an organization entity type.

The provider's business location address is:

3400 CHAPEL HILL RD
SUITE 100 PMB #08
DOUGLASVILLE, GA
ZIP 30135-739
Phone: (678) 882-5371

The provider's authorized official is Felicia Berry-mitchell .
The authorized official title is President and has the following contact phone number (678) 882-5371.

The enumeration date for this NPI number is 3/1/2013 and was last updated on 3/1/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	320800000X	Community Based Residential Treatment Facility, Mental Illness				Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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