Clinical Intervention Specialists

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

CLINICAL INTERVENTION SPECIALISTS

Practice address

6859 Slate Stone Way SE
Mableton, GA 30126-5469

Phone

(770) 745-3556

Fax

(770) 745-6903

NPI assigned

Nov 18, 2008

Organization subpart

No

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

Authorized official

Name

Loutina Rena Murrell

Title

Executive Director

Phone

(678) 422-0723

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1226966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226966400000",
    "number": "1164677159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "696 MOUNT ZION RD",
            "address_2": "SUITE 9-C",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "302361597",
            "telephone_number": "678-802-1970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6859 SLATE STONE WAY SE",
            "city": "MABLETON",
            "state": "GA",
            "postal_code": "301265469",
            "telephone_number": "770-745-3556",
            "fax_number": "770-745-6903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICAL INTERVENTION SPECIALISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-18",
        "last_updated": "2008-11-18",
        "status": "A",
        "authorized_official_last_name": "MURRELL",
        "authorized_official_first_name": "LOUTINA",
        "authorized_official_middle_name": "RENA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "678-422-0723"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2008; 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.