Keystone Counseling Center in Stockbridge - Addiction (substance Use Disorder)
Keystone Counseling Center - NPI 1417092339
Keystone Counseling Center is a Addiction (substance Use Disorder) in Stockbridge, Georgia. Keystone Counseling Center practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Keystone Counseling Center is 1417092339. The last update date is 2020-08-22.
Keystone Counseling Center's current location address is 275 Country Club Dr, Stockbridge, Georgia. You can contact this provider via phone number 7704748400 and fax number 7704743738. The mailing address for Keystone Counseling Center is 275 Country Club Dr, Stockbridge, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Keystone Counseling Center |
|---|---|
| Address | 275 Country Club Dr, Stockbridge, Georgia |
| Phone Number | 7704748400 |
| Fax Number | 7704743738 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PARTNER |
|---|---|
| Authorized Official Name | Hermecz David |
| Credentials | PHD |
| Telephone Number | 7704748400 |
NPI Number Detail
| NPI Number | 1417092339 |
|---|---|
| Provider Enumeration Date | 2007-02-20 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 275 Country Club Dr |
|---|---|
| City | Stockbridge |
| State | Georgia (GA) |
| Post Code | 302817349 |
| Phone Number | 7704748400 |
| Fax Number | 7704743738 |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 103Ta0400X |
|
Definition: A psychologist with a proficiency that involves the application of psychological treatment of addiction stemming from the use of alcohol and other psychoactive substances (e.g., nicotine, marijuana, cocaine, heroin) or behavioral addictions (e.g., ga |
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What is the unique identification code assigned to Keystone Counseling Center by the Centers for Medicare & Medicaid Services?
The Keystone Counseling Center has been issued the NPI (National Provider Identifier) 1417092339. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Keystone Counseling Center's facilities are geographically located?
The facilities of Keystone Counseling Center are physically situated at the following location: 275 Country Club Dr, Stockbridge, GA, 302817349.
What is Keystone Counseling Center's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Keystone Counseling Center is Addiction (substance Use Disorder), and the taxonomy classification code that categorizes this area of expertise is 103Ta0400X.
On what date did the Centers for Medicare & Medicaid Services issue the 1417092339 to Keystone Counseling Center?
The Keystone Counseling Center received its 1417092339 assignment from the Centers for Medicare & Medicaid Services on 2007-02-20.
When was the information regarding Keystone Counseling Center most recently updated?
The details pertaining to the Keystone Counseling Center, including its address, specialty, and other relevant information, were last refreshed on 2020-08-22.
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