Irie'S Behavioral Health Services

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

IRIE'S BEHAVIORAL HEALTH SERVICES

Practice address

5495 Old National Hwy Ste C1
College Park, GA 30349-3256

Phone

(470) 357-2561

NPI assigned

Aug 14, 2019

Organization subpart

Yes

Parent organization

IRIE'S COMMUNITY DEVELOPMENT CENTER, INCAs reported in NPPES

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

Authorized official

Name

Judy Towns

Title

Ceo

Phone

(470) 357-2562

Specialties & licenses 2

Addresses

Part of

Irie'S Community Development Center Inc

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Irie'S Community Development Center, Inc

  • Community/Behavioral Health Agency
  • Dublin, GA
  • NPI 1487961942
  NPPES parent name

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

{
    "created_epoch": "1565740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565740800000",
    "number": "1720634884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5495 OLD NATIONAL HWY STE C1",
            "city": "COLLEGE PARK",
            "state": "GA",
            "postal_code": "303493256",
            "telephone_number": "470-357-2561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5495 OLD NATIONAL HWY STE C1",
            "city": "COLLEGE PARK",
            "state": "GA",
            "postal_code": "303493256",
            "telephone_number": "470-357-2561"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "112 Mall Rd",
            "address_purpose": "LOCATION",
            "city": "Dublin",
            "state": "GA",
            "postal_code": "310213035",
            "country_code": "US",
            "telephone_number": "478-353-8500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "IRIE'S BEHAVIORAL HEALTH SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "IRIE'S COMMUNITY DEVELOPMENT CENTER, INC",
        "enumeration_date": "2019-08-14",
        "last_updated": "2019-08-14",
        "status": "A",
        "authorized_official_last_name": "TOWNS",
        "authorized_official_first_name": "JUDY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "470-357-2562"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in College Park, GA
• Providers in College Park, GA by specialty
• Mental Health Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2019; 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.