Golden Isles Treatment Center, Inc.

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

GOLDEN ISLES TREATMENT CENTER, INC.

Practice address

1613 Union St
Brunswick, GA 31520-6734

Phone

(912) 342-8989

Fax

(912) 342-7541

NPI assigned

Jan 13, 2021

Last updated

Jan 13, 2021By 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

Maria Luisa Way

Title

Owner

Phone

(912) 342-8999

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1610496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610496000000",
    "number": "1538758644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1613 UNION ST",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315206734",
            "telephone_number": "912-342-8999",
            "fax_number": "912-342-7541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1613 UNION ST",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315206734",
            "telephone_number": "912-342-8989",
            "fax_number": "912-342-7541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN ISLES TREATMENT CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-13",
        "last_updated": "2021-01-13",
        "certification_date": "2021-01-13",
        "status": "A",
        "authorized_official_last_name": "WAY",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "LUISA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "912-342-8999"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Golden Isles Pain-MD, LLC (Pain - MD)
• Golden Isles Palliative Care, Inc.
• Golden Isles Pediatrics Inc
• Golden Isles Prosthetics & Avery Watson Strickland Sole MBR
• Golden Isles Psychiatric Associates, P.C.
• Gina Golden, RN
• Bruce S. Goldin, O.D.
• Ivan N Goldner, D.M.D.
• Goodman Medical Services, PC (Activate Health)
• Amanda L Goodman, M.ED, CCC-SLP

• Substance Use Disorder Rehabilitation Clinic/Center in Brunswick, GA
• Providers in Brunswick, GA by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2021; 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.