Active NPI
Csi Behavioral Company LLC
- Community/Behavioral Health Agency
- Dublin, GA
National Provider Identifier
1821223074
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- CSI BEHAVIORAL COMPANY LLC
- Practice address
- 1528 Telfair St
Dublin, GA 31021-3908 - Phone
- (478) 304-1244
- Fax
- (478) 304-1254
- NPI assigned
- May 18, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Vangela Jawan Hines
- Title
- Ceo/Owner
- Phone
- (478) 278-6979
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
1528 Telfair St
Dublin, GA 31021-3908
Mailing address
1528 Telfair St
Dublin, GA 31021-3908
Phone (478) 304-1244
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 827333708A | Medicaid | GA |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Professional Counselor
- Dublin, GA
- NPI 1003984600
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1242604800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1316649600000",
"number": "1821223074",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1528 TELFAIR ST",
"city": "DUBLIN",
"state": "GA",
"postal_code": "310213908",
"telephone_number": "478-304-1244",
"fax_number": "478-304-1254"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1528 TELFAIR ST",
"city": "DUBLIN",
"state": "GA",
"postal_code": "310213908",
"telephone_number": "478-304-1244",
"fax_number": "478-304-1254"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CSI BEHAVIORAL COMPANY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-05-18",
"last_updated": "2011-09-22",
"status": "A",
"authorized_official_last_name": "HINES",
"authorized_official_first_name": "VANGELA",
"authorized_official_middle_name": "JAWAN",
"authorized_official_title_or_position": "CEO/OWNER",
"authorized_official_telephone_number": "478-278-6979"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "827333708A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dublin, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.