NPIMap

Organization Active NPI

Highland Rivers CSB

  • Community/Behavioral Health Agency
  • Calhoun, GA
National Provider Identifier
1003358839
Registry record updated Nov 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
HIGHLAND RIVERS CSB
Practice address
419 N Wall St
Calhoun, GA 30701-1943
Phone
(706) 270-5000
Fax
(706) 370-7749
NPI assigned
Nov 10, 2016
Organization subpart
Yes
Parent organization
HIGHLAND RIVERS COMMUNITY SERVICE BOARDAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 10, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Melanie Dallas, LPC, CEO
Title
Chief Executive Officer
Phone
(706) 270-5000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

419 N Wall St
Calhoun, GA 30701-1943

Mailing address

1401 Applewood Dr
Suite 1
Dalton, GA 30720-2699
Phone (706) 270-5000

Other names 1

  • Gordon Home Again Other name

National Provider Directory

National Provider Directory
Tax ID family
Highland Rivers Center CSB123 organizations share this tax ID, including this one
Part of
Highland Rivers Center CSB

Organizations with this tax ID in the same state 16

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 16

Locations

419 N Wall St
Calhoun, GA 30701
Phone (706) 659-7664

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1478736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478736000000",
    "number": "1003358839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 APPLEWOOD DR",
            "address_2": "SUITE 1",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307202699",
            "telephone_number": "706-270-5000",
            "fax_number": "706-370-7749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "419 N WALL ST",
            "city": "CALHOUN",
            "state": "GA",
            "postal_code": "307011943",
            "telephone_number": "706-270-5000",
            "fax_number": "706-370-7749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIGHLAND RIVERS CSB",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HIGHLAND RIVERS COMMUNITY SERVICE BOARD",
        "enumeration_date": "2016-11-10",
        "last_updated": "2016-11-10",
        "status": "A",
        "authorized_official_last_name": "DALLAS",
        "authorized_official_first_name": "MELANIE",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "706-270-5000",
        "authorized_official_credential": "LPC, CEO"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gordon Home Again",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Calhoun, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.