New Haven Community Services, Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

LPC004026 Issued in GA

Legal business name

NEW HAVEN COMMUNITY SERVICES, INC.

Practice address

26 Cannongate Rd
Suite 2
Sharpsburg, GA 30277-1544

Phone

(404) 916-0681

NPI assigned

Mar 14, 2008

Organization subpart

No

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

Authorized official

Name

Mrs. Mable Overton, LPC

Title

Executive Director

Phone

(404) 916-0681

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1205452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354838400000",
    "number": "1770754079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 CANNONGATE RD",
            "address_2": "SUITE 2",
            "city": "SHARPSBURG",
            "state": "GA",
            "postal_code": "302771544",
            "telephone_number": "404-916-0681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 CANNONGATE RD",
            "address_2": "SUITE 2",
            "city": "SHARPSBURG",
            "state": "GA",
            "postal_code": "302771544",
            "telephone_number": "404-916-0681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW HAVEN COMMUNITY SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-14",
        "last_updated": "2012-12-07",
        "status": "A",
        "authorized_official_last_name": "OVERTON",
        "authorized_official_first_name": "MABLE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "404-916-0681",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "GA",
            "license": "LPC004026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Sharpsburg, GA
• Providers in Sharpsburg, GA by specialty
• Community/Behavioral Health Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2012; 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.