South East Behavioral Community Services, Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

002457 Issued in GA

Legal business name

SOUTH EAST BEHAVIORAL COMMUNITY SERVICES, INC.

Practice address

1725 Mill St
Augusta, GA 30901-4083

Phone

(706) 364-8683

Fax

(706) 364-7218

NPI assigned

Aug 29, 2009

Organization subpart

No

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

Authorized official

Name

Ms. Kay L Gresham, LCSW, ACSW, MAC, SAP

Title

Director

Phone

(706) 364-8683

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1251504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251504000000",
    "number": "1457584054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1725 MILL ST",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309014083",
            "telephone_number": "706-364-8683",
            "fax_number": "706-364-7218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1725 MILL ST",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309014083",
            "telephone_number": "706-364-8683",
            "fax_number": "706-364-7218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH EAST BEHAVIORAL COMMUNITY SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-29",
        "last_updated": "2009-08-29",
        "status": "A",
        "authorized_official_last_name": "GRESHAM",
        "authorized_official_first_name": "KAY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "706-364-8683",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW, ACSW, MAC, SAP"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "GA",
            "license": "002457",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allan John Soto
• Elaine C Soto, RN
• Jillian Marie Soto, MD
• Anas Souid, MD
• South Augusta Dialysis Clinic LLC
• South Path, P.C.
• Southeast Homecare & Respiratory Services
• Southeast Hospice, LLC,
• Southeast Retina Center PC
• Southeastern Behavioral Health Services

• Community/Behavioral Health Agency in Augusta, GA
• Providers in Augusta, GA by specialty
• Community/Behavioral Health Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2009; 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.