Southeastern Behavioral Health Services

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

002457 Issued in GA

Legal business name

SOUTHEASTERN BEHAVIORAL HEALTH SERVICES

Practice address

1723 Mill St
Augusta, GA 30901-4083

Phone

(706) 364-8683

Fax

(706) 364-8683

NPI assigned

Apr 24, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Kay Gresham Morrison, MSW, LCSW, ACSW, MAC

Title

Ceo

Phone

(706) 364-8683

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1043439722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1723 MILL ST",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309014083",
            "telephone_number": "706-364-8683",
            "fax_number": "706-364-8683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1723 MILL ST",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309014083",
            "telephone_number": "706-364-8683",
            "fax_number": "706-364-8683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEASTERN BEHAVIORAL HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GRESHAM MORRISON",
        "authorized_official_first_name": "KAY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "706-364-8683",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSW, LCSW, ACSW, MAC"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "002457",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Augusta, GA
• Providers in Augusta, GA by specialty
• Clinical Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.