Integrity Behavior Health Outpatient Center

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

INTEGRITY BEHAVIOR HEALTH OUTPATIENT CENTER

Practice address

194 Jonesboro Rd Ste K6
Jonesboro, GA 30236-4818

Phone

(770) 629-2167

Fax

(470) 758-8853

NPI assigned

Sep 23, 2024

Organization subpart

No

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

Authorized official

Name

Mary Lashon Ransom

Title

Cfo

Phone

(678) 755-7160

Specialties & licenses 3

Addresses

Locations

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

{
    "created_epoch": "1727049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727049600000",
    "number": "1649097643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "194 JONESBORO RD STE K6",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "302364818",
            "telephone_number": "770-629-2167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "194 JONESBORO RD STE K6",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "302364818",
            "telephone_number": "770-629-2167",
            "fax_number": "470-758-8853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRITY BEHAVIOR HEALTH OUTPATIENT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-23",
        "last_updated": "2024-09-23",
        "certification_date": "2024-09-23",
        "status": "A",
        "authorized_official_last_name": "RANSOM",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "LASHON",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "678-755-7160"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2024; 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.