Columbus Behavioral Services, LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

049626 Issued in GA

Legal business name

COLUMBUS BEHAVIORAL SERVICES, LLC

Practice address

3001 Hamilton Rd
Columbus, GA 31904-8209

Phone

(706) 494-1461

NPI assigned

Dec 2, 2011

Last updated

Dec 19, 2011By 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

Mohammed K Soomro, M.D.

Title

Owner

Phone

(706) 494-1460

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1322784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324252800000",
    "number": "1245508456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 HAMILTON RD",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319048209",
            "telephone_number": "706-494-1461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 HAMILTON RD",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319048209",
            "telephone_number": "706-494-1461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLUMBUS BEHAVIORAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-02",
        "last_updated": "2011-12-19",
        "status": "A",
        "authorized_official_last_name": "SOOMRO",
        "authorized_official_first_name": "MOHAMMED",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "706-494-1460",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "GA",
            "license": "049626",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Columbus Cancer Treatment Center, LLC
• Columbus Cardiology Associates, PC
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• Columbus Center for Reproductive Endocrinology and Infertility, LLC
• Columbus Center LLC

• Mental Health Clinic/Center (Including Community Mental Health Center) in Columbus, GA
• Providers in Columbus, GA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2011; 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.