GATEWAY BHS - SCS BONAVENTURE C & A OUTPATIENT - NPI 1891824025

Q: What is Gateway Behavioral Health Services's NPI number?

The NPI number for Gateway Behavioral Health Services is 1891824025. It was assigned to this organization in the NPPES registry on March 5, 2007. The provider is also known as Gateway Bhs - Scs Bonaventure C & A Outpatient.

Q: What is Gateway Behavioral Health Services's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

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About Gateway Bhs - Scs Bonaventure C & A Outpatient NPPES

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

GATEWAY BHS - SCS BONAVENTURE C & A OUTPATIENT (NPI 1891824025) is a healthcare organization registered as a counselor in Thunderbolt, Georgia and active in the NPI registry since March 2007. The organization lists Rachel Skinner, Director Of Reimbursement, as its authorized official.

NPPES Registry Identity

NPI1891824025

Entity TypeOrganization

Primary Taxonomy101Y00000X

Legal Business NameGATEWAY BEHAVIORAL HEALTH SERVICES

Location Address415 BONAVENTURE RDThunderbolt, GA 31404-3299

Mailing Address700 Coastal Village DrBrunswick, GA 31520-1974 · (912) 554-8510 · Fax (912) 264-5965

Phone(912) 790-6527

Fax(912) 644-7729

Organization SubpartNo

Authorized OfficialRachel SkinnerDirector Of Reimbursement · (912) 554-8498

Enumeration DateMarch 5, 2007

Last NPPES UpdateNovember 14, 2011

✔ NPI 1891824025 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

415 BONAVENTURE RD, Thunderbolt, GA 31404

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Other Names 1

Other NameGateway Bhs - Scs Bonaventure C & A Outpatient

Other Identifiers 2

Medicaid000859141BGA

Medicaid000859141AGA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 6

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

ELLEN FARRELL LPC

Counselor (Professional)