Organization Active NPI

South Central Community and Social Services LLC

  • Community/Behavioral Health Agency
  • Decatur, GA
National Provider Identifier
1497052963
Registry record updated Jul 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
LPC003858 Issued in GA
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

Updated by the provider on Jul 3, 2012

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

Authorized official

Name
Delores Morris, LPCNPI 1861521254
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)CodeLicenseStatePrimary
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 Directory

Practitioners & affiliated clinicians

Practitioners 1

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

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.

Verify at the official NPI Registry.