Georgia Family Support Systems, Inc.

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

License

LPC004196 Issued in GA

Legal business name

GEORGIA FAMILY SUPPORT SYSTEMS, INC.

Practice address

194 Jonesboro Rd Ste K
Jonesboro, GA 30236-4813

Phone

(678) 479-3505

Fax

(770) 471-4595

NPI assigned

Sep 21, 2006

Organization subpart

No

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

Authorized official

Name

Doris Louise Patillo, LPC, SAM

Title

Director and Clinical Director

Phone

(678) 479-3505

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1679671507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "194 JONESBORO RD STE K",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "302364813",
            "telephone_number": "678-479-3505",
            "fax_number": "770-471-4595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "194 JONESBORO RD STE K",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "302364813",
            "telephone_number": "678-479-3505",
            "fax_number": "770-471-4595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGIA FAMILY SUPPORT SYSTEMS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PATILLO",
        "authorized_official_first_name": "DORIS",
        "authorized_official_middle_name": "LOUISE",
        "authorized_official_title_or_position": "DIRECTOR AND CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "678-479-3505",
        "authorized_official_credential": "LPC, SAM"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "GA",
            "license": "LPC004196",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Case Management Agency in Jonesboro, GA
• Providers in Jonesboro, GA by specialty
• Case Management Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.