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Unison Behavioral Health

Organization Active NPI Counselor · Homerville, GA

NPI 1427368539 · NPPES record last updated Oct 5, 2015

Key facts

NPI
1427368539
Entity type
Organization (NPI type 2)
Primary specialty
Counselor 101Y00000X
Legal business name
UNISON BEHAVIORAL HEALTH
Practice address
551 Old Pearson Rd
Homerville, GA 31634-1724
Phone
(912) 449-7109
Fax
(912) 449-7056
NPI assigned
Oct 8, 2010
Organization subpart
Yes
Parent organization (as reported)
UNISON BEHAVIORAL HEALTH

Authorized official

Name
Glyn Thomas, PHD
Title
Ceo
Phone
(912) 449-7103

Other NPIs on the same Medicare enrollment 10

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Corporate family (same tax ID) 24

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 29

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 29

Medicare participation

Medicare fee-for-service enrollment
Enrolled in GA

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20040220000112 GA Part B Supplier - Clinic/Group Practice 7517852247 Receives reassigned benefits from 33 practitioners
10 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Waycross, GA; Nahunta, GA; Folkston, GA; Homerville, GA; Alma, GA; Douglas, GA

National Provider Directory

Tax ID family
Supportive Employment (71 organizations share this tax ID)
Part of
Supportive Employment

Locations

108 E 5th St
Alma, GA 31510
Phone (912) 449-7109

3455 Harris Rd
Waycross, GA 31503
Phone (912) 287-4925

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor
Group: 193400000X SINGLE SPECIALTY GROUP		 101Y00000X Yes

Addresses

Primary practice location

551 Old Pearson Rd
Homerville, GA 31634-1724

Mailing address

1007 Mary St
Waycross, GA 31503-3823
Phone (912) 449-7109

Other identifiers

IdentifierTypeStateIssuer
000606295HMedicaidGA

Other names

  • Clinch C&A Other name

Other providers in Homerville, GA

All providers in Homerville, GA · Counselor in Georgia

Sources for this page

Verify at the official NPI Registry.