SIDE BY SIDE CLUBHOUSE, INC.
NPI 1275674186
Community/Behavioral Health in Stone Mountain, GA

Q: What is Side By Side Clubhouse, Inc.'s NPI number?

The NPI number for Side By Side Clubhouse, Inc. is 1275674186. It was assigned to this organization in the NPPES registry on February 12, 2007.

Q: What is Side By Side Clubhouse, Inc.'s specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Active since February 12, 2007

1001 MAIN ST, STONE MOUNTAIN, GA 30083(404) 378-1139(404) 378-1164 Get Directions Write a Review

NPPES record last updated: May 5, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Side By Side Clubhouse, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SIDE BY SIDE CLUBHOUSE, INC. (NPI 1275674186) is a healthcare organization registered as a community/behavioral health in Stone Mountain, Georgia and active in the NPI registry since February 2007. The organization lists Cynthia Johnson, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1275674186

Entity TypeOrganization

Primary Taxonomy251S00000X

Legal Business NameSIDE BY SIDE CLUBHOUSE, INC.

Location Address1001 MAIN STStone Mountain, GA 30083-2922

Mailing Address1001 Main StStone Mountain, GA 30083-2922 · (770) 469-9355 · Fax (770) 469-9385

Phone(404) 378-1139

Fax(404) 378-1164

Organization SubpartNo

Authorized OfficialCynthia JohnsonExecutive Director · (770) 469-9355

Enumeration DateFebruary 12, 2007

Last NPPES UpdateMay 5, 2010

✔ NPI 1275674186 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies

Taxonomy Code251S00000X

Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

1001 MAIN ST, Stone Mountain, GA 30083

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Other Identifiers 1

Medicaid000877676AGA

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Side By Side Clubhouse, Inc.'s NPI number?

The NPI number for Side By Side Clubhouse, Inc. is 1275674186. It was assigned to this organization in the NPPES registry on February 12, 2007.

Where is Side By Side Clubhouse, Inc. located?

Side By Side Clubhouse, Inc. is located at 1001 Main St, Stone Mountain, GA 30083. The listed phone number is (404) 378-1139.

What is Side By Side Clubhouse, Inc.'s specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Side By Side Clubhouse, Inc. was last updated on May 5, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.