The Safety Net Youth Services

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Legal business name

THE SAFETY NET YOUTH SERVICES

Practice address

3416 Timbercreek Dr
Lawrenceville, GA 30044-3050

Phone

(470) 321-3346

NPI assigned

Mar 24, 2022

Last updated

Mar 24, 2022By 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

Camille J Gregory, ICAADC

Title

Ceo

Phone

(470) 321-3346

Specialties & licenses 1

Addresses

Other names 1

• TSNYS Other name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Camille Coleman, BA

  • Addiction (Substance Use Disorder) Counselor
  • Lawrenceville, GA
  • NPI 1063723286
  NPD

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

{
    "created_epoch": "1648080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648080000000",
    "number": "1477203347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 465472",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300425472",
            "telephone_number": "470-321-3346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3416 TIMBERCREEK DR",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300443050",
            "telephone_number": "470-321-3346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE SAFETY NET YOUTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-24",
        "last_updated": "2022-03-24",
        "certification_date": "2022-03-24",
        "status": "A",
        "authorized_official_last_name": "GREGORY",
        "authorized_official_first_name": "CAMILLE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "470-321-3346",
        "authorized_official_credential": "ICAADC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TSNYS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Addiction (Substance Use Disorder) Counselor in Lawrenceville, GA
• Providers in Lawrenceville, GA by specialty
• Addiction (Substance Use Disorder) Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2022; 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.