# SOCIAL SERVICES INSTITUTE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1740535962
- **Authorized official:** HENRY EARL ROBERSON LCSW (CLINICAL DIRECTOR/OWNER)
- **Authorized official phone:** (770) 944-7280

## Contact information

- **Practice address:** 4581 DURON PL SW, MABLETON, GA 30126-1177
- **Practice address phone:** (770) 944-7280
- **Practice address fax:** (770) 944-7280
- **Mailing address:** PO BOX 1821, MABLETON, GA 30126-1013
- **Mailing address phone:** (770) 944-7280
- **Mailing address fax:** (770) 944-7280

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251300000X | Local Education Agency (LEA) | CSW001776 | GA | — |
| 251B00000X | Case Management Agency | CSW001776 | GA | — |
| 252Y00000X | Early Intervention Provider Agency | CSW001776 | GA | Yes |
| 253Z00000X | In Home Supportive Care Agency | CSW001776 | GA | — |

## Other

- **Enumeration date:** 07/14/2012
- **Last updated:** 07/14/2012