NPI 1558691568

Amerisouth Community Partners

Organisation Case Management Agency Norcross, GA

Practice location

Address: 1770 Indian Trail Lilburn Rd 200, Norcross, GA 30093-2642
Phone: (678) 777-2522
Fax: (404) 496-6845
Mailing address: PO Box 870167, Stone Mountain, GA 30087-0005

Authorised official

Name: Fay Pittman
Title: Administrator
Phone: (678) 777-2522

Registered specialties (6)

Case Management Agency Primary

Agencies Taxonomy 251B00000X

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Counselor

Behavioral Health & Social Service Providers Taxonomy 101Y00000X

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Professional Counselor

Behavioral Health & Social Service Providers Taxonomy 101YP2500X

Social Worker

Behavioral Health & Social Service Providers Taxonomy 104100000X

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Clinical Social Worker

Behavioral Health & Social Service Providers Taxonomy 1041C0700X

Community/Behavioral Health Agency

Agencies Taxonomy 251S00000X

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Registry record

NPI: 1558691568
Entity type: Organization
NPI issued: 14 Jan 2010
Record last updated: 25 May 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.