South West Georgia Behavioral Health Provider Services Inc.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

SOUTH WEST GEORGIA BEHAVIORAL HEALTH PROVIDER SERVICES INC.

Practice address

2211 Greenoch Ave
2211 Greenoch
Albany, GA 31721-2054

Phone

(229) 376-2969

NPI assigned

Jan 29, 2016

Last updated

Jan 29, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Vanessa Johnson Cashaw, RN

Title

Administrator/Ceo

Phone

(229) 376-9140

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1454025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454025600000",
    "number": "1952769440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2211 GREENOCH AVE",
            "address_2": "2211 GREENOCH",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317212054",
            "telephone_number": "229-376-9140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2211 GREENOCH AVE",
            "address_2": "2211 GREENOCH",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317212054",
            "telephone_number": "229-376-2969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH WEST GEORGIA BEHAVIORAL HEALTH PROVIDER SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-29",
        "last_updated": "2016-01-29",
        "status": "A",
        "authorized_official_last_name": "CASHAW",
        "authorized_official_first_name": "VANESSA",
        "authorized_official_middle_name": "JOHNSON",
        "authorized_official_title_or_position": "ADMINISTRATOR/CEO",
        "authorized_official_telephone_number": "229-376-9140",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Albany, GA
• Providers in Albany, 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 Jan 29, 2016; 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.