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GREENLEE BEHAVIORAL HEALTH SERVICES LLC. NPI 1881968584


NPI Information

NPI: 1881968584
Provider Name: GREENLEE BEHAVIORAL HEALTH SERVICES, LLC.
Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization

CLIA Number: 11D2106445

Address:
778 RAYS RD
SUITE 102
STONE MOUNTAIN, GA
ZIP 30083
Phone: (404) 298-1230
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GREENLEE BEHAVIORAL HEALTH SERVICES, LLC. is a community behavioral health in Stone Mountain, GA. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, 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. GREENLEE BEHAVIORAL HEALTH SERVICES, LLC. NPI is 1881968584. The provider is registered as an organization entity type.

The provider's business location address is:

778 RAYS RD
SUITE 102
STONE MOUNTAIN, GA
ZIP 30083-107
Phone: (404) 298-1230

The provider's authorized official is Tiffany Lasha Wiggins .
The authorized official title is Owner/ceo and has the following contact phone number (404) 298-1230.

The CLIA number assigned to this NPI record is 11D2106445 - other - ifi core provider with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/28/2012 and was last updated on 2/28/2012.


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
1251S00000XCommunity/Behavioral Health453088947AGEORGIAYes

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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