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GINGER RIDGE BEHAVIORAL HEALTH, LLC
NPI 1336424787
Clinic/Center - Adult Mental Health in Fayetteville, GA

Active since October 17, 2011
170 BASTILLE WAY STE C, FAYETTEVILLE, GA 30214(770) 461-7010(770) 461-7100 Get Directions Write a Review

NPPES record last updated: January 24, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ginger Ridge Behavioral Health, Llc NPPES

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

GINGER RIDGE BEHAVIORAL HEALTH, LLC (NPI 1336424787) is a healthcare organization registered as an adult mental health in Fayetteville, Georgia and active in the NPI registry since October 2011. The organization lists Claudette Idigo, Clinical Social Worker, as its authorized official.

NPPES Registry Identity

NPI1336424787
Entity TypeOrganization
Primary Taxonomy261QM0850X
Legal Business NameGINGER RIDGE BEHAVIORAL HEALTH, LLC
Location Address170 BASTILLE WAY STE CFayetteville, GA 30214-7652
Mailing Address170 Bastille Way Ste CFayetteville, GA 30214-7652 · (770) 461-7010 · Fax (770) 461-7100
Phone(770) 461-7010
Fax(770) 461-7100
Organization SubpartNo
Authorized OfficialClaudette IdigoClinical Social Worker · (678) 428-1728
Enumeration DateOctober 17, 2011
Last NPPES UpdateJanuary 24, 2012
✔ NPI 1336424787 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyClinic/Center · Adult Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0850X
License✔ Licensed in GA · CSW004018
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
Also ListedCase ManagementTaxonomy 251B00000X · License CSW004018 (GA)
Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X · License CSW004018 (GA)
Also ListedClinic/Center · Developmental DisabilitiesTaxonomy 261QD1600X · License CSW004018 (GA)
Also ListedClinic/Center · Adolescent and Children Mental HealthTaxonomy 261QM0855X · License CSW004018 (GA)
170 BASTILLE WAY STE C, Fayetteville, GA 30214
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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 Ginger Ridge Behavioral Health, LLC's NPI number?

The NPI number for Ginger Ridge Behavioral Health, LLC is 1336424787. It was assigned to this organization in the NPPES registry on October 17, 2011.

Where is Ginger Ridge Behavioral Health, LLC located?

Ginger Ridge Behavioral Health, LLC is located at 170 Bastille Way Ste C, Fayetteville, GA 30214. The listed phone number is (770) 461-7010.

What is Ginger Ridge Behavioral Health, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Mental Health, with taxonomy code 261QM0850X.

When was this NPI record last updated?

The NPPES record for Ginger Ridge Behavioral Health, LLC was last updated on January 24, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.