Redirect Counseling Services Inc

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

License

26001 Issued in GA

Legal business name

REDIRECT COUNSELING SERVICES INC

Practice address

2031 Bemiss Rd # a
Valdosta, GA 31602-3030

Phone

(229) 293-0444

Fax

(229) 253-0381

NPI assigned

Apr 26, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Debra L Mashburn, ICADC, CCS

Title

Owner Director

Phone

(229) 293-0444

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Redirect Driver Improvement Services Doing business as

Locations

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1184844565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2031 A BEMISS ROAD",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "31602",
            "telephone_number": "229-293-0444",
            "fax_number": "229-253-0381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2031 BEMISS RD # A",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316023030",
            "telephone_number": "229-293-0444",
            "fax_number": "229-253-0381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REDIRECT COUNSELING SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MASHBURN",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER DIRECTOR",
        "authorized_official_telephone_number": "229-293-0444",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "ICADC, CCS"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "GA",
            "license": "26001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RISK REDUCTION PROGRAM",
            "identifier": "9140",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LEVEL ONE",
            "identifier": "26001",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Redirect Driver Improvement Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sarah Grace Reaves, M.ED, CF-SLP
• Recharged Wellness Club LLC
• Amy L Redding, MED CCC-SLP
• Victoria Elizabeth Redding, CF-SLP
• Shilpa Narahari Reddy, MD
• Chateris Reed
• Tayler Gail Anne Reed
• Byron Paul Reese, MD
• Regina Katherine Wisenbaker
• Caitlyn Christine Register, MSN, APRN, FNP-C

• Substance Use Disorder Rehabilitation Clinic/Center in Valdosta, GA
• Providers in Valdosta, GA by specialty
• Substance Use Disorder Rehabilitation Clinic/Center 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.