Organization
COMMUNITY GEORGIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHEONKEI GIVNER (CLINICAL MANAGER)
(470) 905-2549
Entity
Organization
Contact information
Practice address
1542 OAKLEAF DR, AUBURN, GA 30011-3268
(470) 905-2549
(877) 540-0067
Mailing address
1415 HIGHWAY 85 N STE 310, FAYETTEVILLE, GA 30214-4185
(470) 905-2549
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
171M00000X
Case Manager/Care Coordinator
—
—
261Q00000X
Clinic/Center
Primary
—
—
261QC1500X
Community Health Clinic/Center
—
—
Other
Enumeration date
09/18/2023
Last updated
09/18/2023
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