Olivet Behavioral Health Services, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

OLIVET BEHAVIORAL HEALTH SERVICES, LLC

Practice address

8336 Office Park Dr Ste K
Douglasville, GA 30134-6937

Phone

(678) 458-1759

NPI assigned

May 11, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Darren Lee Cooper, LCSWNPI 1285149047

Title

Founder & Ceo

Phone

(678) 458-1759

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Darren L. Cooper, DSW, LCSW

  • Clinical Social Worker
  • Douglasville, GA
  • NPI 1285149047
  NPD Authorized official

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

{
    "created_epoch": "1525996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525996800000",
    "number": "1730679127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3002 OLDE TABBY DR",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301359223",
            "telephone_number": "678-458-1759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8336 OFFICE PARK DR STE K",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301346937",
            "telephone_number": "678-458-1759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLIVET BEHAVIORAL HEALTH SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-11",
        "last_updated": "2018-05-11",
        "status": "A",
        "authorized_official_last_name": "COOPER",
        "authorized_official_first_name": "DARREN",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "FOUNDER & CEO",
        "authorized_official_telephone_number": "678-458-1759",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Douglasville, GA
• Providers in Douglasville, GA by specialty
• Clinical Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2018; 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.