CLAYTON COMMUNITY MENTAL HEALTH SUBSTANCE AB NPI 1649257791

NPI Information

NPI: 1649257791
Provider Name: CLAYTON COMMUNITY MENTAL HEALTH SUBSTANCE AB

Doing Business As: CLAYTON CSB

Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
853 BATTLECREEK RD
JONESBORO, GA
ZIP 30236
Phone: (770) 478-2280
Get Directions

CLAYTON COMMUNITY MENTAL HEALTH SUBSTANCE AB is a mental health (including community mental health center) clinic center in Jonesboro, GA. CLAYTON COMMUNITY MENTAL HEALTH SUBSTANCE AB NPI is 1649257791. The provider is registered as an organization entity type.
The provider Is Doing Business As Clayton Csb.

The provider's business location address is:

853 BATTLECREEK RD
JONESBORO, GA
ZIP 30236-919
Phone: (770) 478-2280
Fax: (770) 477-9772

The provider's authorized official is Terry Cole .
The authorized official title is Executive D Irector and has the following contact phone number (770) 478-2280.

The enumeration date for this NPI number is 12/29/2005 and was last updated on 11/15/2011.

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	Primary
1	261QD1600X	Clinic/Center	Developmental Disabilities	No
2	101Y00000X	Counselor		No
3	101YA0400X	Counselor	Addiction (Substance Use Disorder)	No
4	101YM0800X	Counselor	Mental Health	No
5	103T00000X	Psychologist		No
6	103TA0400X	Psychologist	Addiction (Substance Use Disorder)	No
7	103TB0200X	Psychologist	Cognitive & Behavioral	No
8	104100000X	Social Worker		No
9	261QM0850X	Clinic/Center	Adult Mental Health	No
10	251S00000X	Community/Behavioral Health		No
11	251C00000X	Day Training, Developmentally Disabled Services		No
12	261Q00000X	Clinic/Center		No
13	261QM0855X	Clinic/Center	Adolescent and Children Mental Health	No
14	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	00604205E	MEDICAID	GEORGIA
2	GRP2322	OTHER	GEORGIA	CAHABA GBA
3	D83380	MEDICARE UPIN	GEORGIA
4	GRP2322	MEDICARE PIN	GEORGIA
5	11BDWRJ	MEDICARE PIN	GEORGIA

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

NPI Synchronization or Removal

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