EAST DEKALB
NPI 1447395488
Community/Behavioral Health in Lithonia, GA

Q: What is Dekalb Community Service Board's NPI number?

The NPI number for Dekalb Community Service Board is 1447395488. It was assigned to this organization in the NPPES registry on February 20, 2007. The provider is also known as East Dekalb.

Q: What is Dekalb Community Service Board's specialty?

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

Active since February 20, 2007

2277 STONE MOUNTAIN LITHONIA RD, LITHONIA, GA 30058(770) 270-2710(770) 270-2714 Get Directions Write a Review

NPPES record last updated: September 6, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 6, 2023, Apr 24, 2020 (2 updates tracked since 2020).

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About East Dekalb NPPES

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

EAST DEKALB (NPI 1447395488) is a healthcare organization registered as a community/behavioral health in Lithonia, Georgia and active in the NPI registry since February 2007. The organization lists Fabio Bruno Van Der Merwe, Ceo, as its authorized official.

NPPES Registry Identity

NPI1447395488

Entity TypeOrganization

Primary Taxonomy251S00000X

Legal Business NameDEKALB COMMUNITY SERVICE BOARD

Location Address2277 STONE MOUNTAIN LITHONIA RDLithonia, GA 30058-5252

Mailing Address445 Winn Way Fl 4Decatur, GA 30030-1707 · (404) 294-3836

Phone(770) 270-2710

Fax(770) 270-2714

Organization SubpartYes

Authorized OfficialFabio Bruno Van Der MerweCeo · (404) 294-3836

Enumeration DateFebruary 20, 2007

Last NPPES UpdateSeptember 6, 20232 updates tracked since enumeration

NPPES CertifiedSeptember 6, 2023

✔ NPI 1447395488 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.

2277 STONE MOUNTAIN LITHONIA RD, Lithonia, GA 30058

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Other Names 1

Other NameEast Dekalb

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AYANNA TENAY HARRIS LPN

Licensed Practical Nurse