HOPE BEHAVIORAL HEALTH & ADDICTIVE DISEASE WELLNESS CENTER NPI 1699136317

NPI Information

  • NPI: 1699136317
  • Provider Name: HOPE BEHAVIORAL HEALTH & ADDICTIVE DISEASE WELLNESS CENTER
  • Classification: Clinic/Center - 261QM0801X
  • Specialization: Mental Health (Including Community Mental Health Center)
  • Entity Type: Organization
  • Address: 218 S MACARTHUR DR
    CAMILLA, GA
    ZIP 31730
  • Phone: (229) 336-1702

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NPI Details

HOPE BEHAVIORAL HEALTH & ADDICTIVE DISEASE WELLNESS CENTER is a mental health (including community mental health center) clinic center in Camilla, GA. HOPE BEHAVIORAL HEALTH & ADDICTIVE DISEASE WELLNESS CENTER NPI is 1699136317. The provider is registered as an organization entity type.

The provider's business location address is:

218 S MACARTHUR DR
CAMILLA, GA
ZIP 31730-410
Phone: (229) 336-1702
Fax: (229) 336-1701

The provider's authorized official is Shuntol Harris .
The authorized official title is Office Manager and has the following contact phone number (229) 798-3929.

The enumeration date for this NPI number is 3/8/2016 and was last updated on 3/8/2016.

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
1261QM0850XClinic/CenterAdult Mental HealthGEORGIANo
2261QM0855XClinic/CenterAdolescent and Children Mental HealthGEORGIANo
3261QR0405XClinic/CenterRehabilitation, Substance Use DisorderGEORGIANo
4261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)GEORGIAYes

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: 3/30/2025

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