Cadillac Comprehensive Counseling Services

Primary specialty

Point of ServiceTaxonomy code 305S00000X

Legal business name

CADILLAC COMPREHENSIVE COUNSELING SERVICES

Practice address

3150 Shoal Creek CT
Rex, GA 30273-2426

Phone

(678) 334-5017

NPI assigned

Oct 3, 2008

Last updated

Oct 3, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Cee Cee Anderson

Title

Ceo

Phone

(678) 334-5017

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1222992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222992000000",
    "number": "1225289648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3150 SHOAL CREEK CT",
            "city": "REX",
            "state": "GA",
            "postal_code": "302732426",
            "telephone_number": "678-334-5017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3150 SHOAL CREEK CT",
            "city": "REX",
            "state": "GA",
            "postal_code": "302732426",
            "telephone_number": "678-334-5017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CADILLAC COMPREHENSIVE COUNSELING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-03",
        "last_updated": "2008-10-03",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "CEE CEE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "678-334-5017"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keith Backmon
• Meghan Xanthe Baker, CPHT, PP
• Georgia Mae Brooks, PMHNP-BC
• Nikkiya D Brooks, LPC
• Livia Brown
• Andrea D Calhoun Payton
• Carlton Calhoun
• Clara's Home Healthcare Institute (Clara's Healthcare)
• Clayton Mhddad (Clayton Center CSB)
• Nichelle Clemons, RPH

• Point of Service in Rex, GA
• Providers in Rex, GA by specialty
• Point of Service in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 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.