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

Q: What is the provider's specialty?

The provider's specialty 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: July 19, 2026.

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

Table of Contents

NPI Profile Information
Primary Taxonomy
Authorized Official
Other Providers Same Location
Frequently Asked Questions

Organization
Community/Behavioral Health

About EAST DEKALB

This page provides the complete NPI Profile along with additional information for East Dekalb, a provider established in Lithonia, Georgia operating as a Community/behavioral Health. The healthcare provider is registered in the NPI registry with number 1447395488 assigned on February 2007. The practitioner's primary taxonomy code is 251S00000X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The provider's other name is East Dekalb. The authorized official of this NPI record is Fabio Bruno Van Der Merwe (Ceo)

NPI: 1447395488 Verify this NPI
Provider Legal Name: DEKALB COMMUNITY SERVICE BOARD
Other Organization Name: EAST DEKALB
Other Name Type: Other Name (5)
Entity Type: Organization
Location Address: 2277 STONE MOUNTAIN LITHONIA RD LITHONIA, GA 30058
Location Phone: (770) 270-2710
Location Fax: (770) 270-2714
Mailing Address: 445 WINN WAY FL 4 DECATUR, GA 30030
Mailing Phone: (404) 294-3836
Is Sole Proprietor?: No
Is Organization Subpart?: Yes
Enumeration Date: 02-20-2007
Last Update Date: 09-06-2023
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Community/Behavioral Health
Taxonomy Code: 251S00000X
Type: Agencies
Taxonomy Description: 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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name: FABIO BRUNO VAN DER MERWE
Authorized Official Title: CEO
Authorized Official Phone: (404) 294-3836