Active NPI
South Central Community and Social Services LLC
- Community/Behavioral Health Agency
- Decatur, GA
National Provider Identifier
1497052963
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- LPC003858
- Legal business name
- SOUTH CENTRAL COMMUNITY AND SOCIAL SERVICES LLC
- Practice address
- 465 Winn Way
Suite 150
Decatur, GA 30030-1753 - Phone
- (404) 438-2294
- Fax
- (678) 732-0349
- NPI assigned
- Feb 18, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Delores Morris, LPC
- Title
- Owner
- Phone
- (404) 438-2294
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | LPC003858 | GA | Primary |
Addresses
Primary practice location
465 Winn Way
Suite 150
Decatur, GA 30030-1753
Mailing address
2489 Connally Dr
East Point, GA 30344-1077
Phone (404) 438-2294
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Professional Counselor
- Decatur, GA
- NPI 1861521254
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1297987200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1341273600000",
"number": "1497052963",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2489 CONNALLY DR",
"city": "EAST POINT",
"state": "GA",
"postal_code": "303441077",
"telephone_number": "404-438-2294",
"fax_number": "678-732-0349"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "465 WINN WAY",
"address_2": "SUITE 150",
"city": "DECATUR",
"state": "GA",
"postal_code": "300301753",
"telephone_number": "404-438-2294",
"fax_number": "678-732-0349"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTH CENTRAL COMMUNITY AND SOCIAL SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-02-18",
"last_updated": "2012-07-03",
"status": "A",
"authorized_official_last_name": "MORRIS",
"authorized_official_first_name": "DELORES",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "404-438-2294",
"authorized_official_credential": "LPC"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "GA",
"license": "LPC003858",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Decatur, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.