Community Behavioral Center LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

LPC007314 Issued in GA

Legal business name

COMMUNITY BEHAVIORAL CENTER LLC

Practice address

2245 Godby Rd
Suite 102 & 104
College Park, GA 30349-5059

Phone

(404) 996-4286

NPI assigned

Aug 20, 2013

Organization subpart

No

Name

Ms. Felicia Rose Perry, LPC

Title

Director

Phone

(404) 996-4286

Locations

• 111 dui school Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 20, 2013.

{
    "created_epoch": "1376956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376956800000",
    "number": "1124451570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2245 GODBY RD",
            "address_2": "SUITE 102 & 104",
            "city": "COLLEGE PARK",
            "state": "GA",
            "postal_code": "303495059",
            "telephone_number": "404-996-4286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2245 GODBY RD",
            "address_2": "SUITE 102 & 104",
            "city": "COLLEGE PARK",
            "state": "GA",
            "postal_code": "303495059",
            "telephone_number": "404-996-4286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY BEHAVIORAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-20",
        "last_updated": "2013-08-20",
        "status": "A",
        "authorized_official_last_name": "PERRY",
        "authorized_official_first_name": "FELICIA",
        "authorized_official_middle_name": "ROSE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "404-996-4286",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "GA",
            "license": "LPC007314",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "111 dui school",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2013; 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.