Organization Active NPI

Mental Health Services of Georgia

  • Clinical Social Worker
  • Lagrange, GA
National Provider Identifier
1003481219
Registry record updated Jul 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
MENTAL HEALTH SERVICES OF GEORGIA
Practice address
137B Commerce Ave Ste 262
Lagrange, GA 30241-2337
Phone
(203) 551-7301
NPI assigned
May 21, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2021

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

Authorized official

Name
Kay Stargill
Title
Owner
Phone
(706) 302-6745

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

137B Commerce Ave Ste 262
Lagrange, GA 30241-2337

Mailing address

137B Commerce Ave Ste 262
Lagrange, GA 30241-2337
Phone (203) 551-7301

National Provider Directory

National Provider Directory

Locations

137 Commerce Ave
Ste 262
Lagrange, GA 30241
Phone (203) 551-7301

NPI Registry JSON

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

{
    "created_epoch": "1621555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625097600000",
    "number": "1003481219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "137B COMMERCE AVE STE 262",
            "city": "LAGRANGE",
            "state": "GA",
            "postal_code": "302412337",
            "telephone_number": "203-551-7301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "137B COMMERCE AVE STE 262",
            "city": "LAGRANGE",
            "state": "GA",
            "postal_code": "302412337",
            "telephone_number": "203-551-7301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENTAL HEALTH SERVICES OF GEORGIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-21",
        "last_updated": "2021-07-01",
        "certification_date": "2021-07-01",
        "status": "A",
        "authorized_official_last_name": "STARGILL",
        "authorized_official_first_name": "KAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "706-302-6745"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lagrange, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2021; 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.