COMMUNITY SERVICE BOARD OF MIDDLE GEORGIA
NPI 1477074698
Community/Behavioral Health in Louisville, GA

Active since June 28, 2017
1114 CLARKS MILL RD, LOUISVILLE, GA 30434(478) 625-7214(478) 625-7240 Get Directions Write a Review

NPPES record last updated: June 28, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Community Service Board Of Middle Georgia NPPES

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

COMMUNITY SERVICE BOARD OF MIDDLE GEORGIA (NPI 1477074698) is a healthcare organization registered as a community/behavioral health in Louisville, Georgia and active in the NPI registry since June 2017. The organization lists Keith Moran, Cfo, as its authorized official.

NPPES Registry Identity

NPI1477074698
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameCOMMUNITY SERVICE BOARD OF MIDDLE GEORGIA
Location Address1114 CLARKS MILL RDLouisville, GA 30434-5304
Mailing Address223 N Anderson DrSwainsboro, GA 30401-4440 · (478) 289-2683 · Fax (478) 289-2798
Fax(478) 625-7240
Organization SubpartNo
Authorized OfficialKeith MoranCfo · (478) 272-6811
Enumeration DateJune 28, 2017
NPI 1477074698 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.
1114 CLARKS MILL RD, Louisville, GA 30434

Other Identifiers 1

Medicaid000709288TGA

Other Providers at the Same Location NPPES 4

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

Community/Behavioral Health
1114 CLARKS MILL RD
LOUISVILLE, GA 30434
Community/Behavioral Health
1114 CLARKS MILL RD
LOUISVILLE, GA 30434
Community/Behavioral Health
1114 CLARKS MILL RD
LOUISVILLE, GA 30434
Community/Behavioral Health
1114 CLARKS MILL RD
LOUISVILLE, GA 30434

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 Community Service Board Of Middle Georgia's NPI number?

The NPI number for Community Service Board Of Middle Georgia is 1477074698. It was assigned to this organization in the NPPES registry on June 28, 2017.

Where is Community Service Board Of Middle Georgia located?

Community Service Board Of Middle Georgia is located at 1114 Clarks Mill Rd, Louisville, GA 30434. The listed phone number is (478) 625-7214.

What is Community Service Board Of Middle Georgia'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 Community Service Board Of Middle Georgia was last updated on June 28, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.