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Robert L Clemons Ii
Community/Behavioral Health Agency in Fayetteville, Georgia
NPI 1205992146

Robert L Clemons Ii is a Community/Behavioral Health Agency based in Fayetteville, GA. Robert L Clemons Ii practices in Fayetteville, GA. The NPI Number for Robert L Clemons Ii is 1205992146 and holds a License No. 004041 (Georgia).

The current practice location address for Robert L Clemons Ii is 101 Devant St, Fayetteville, GA and can be reached out via phone at 770-460-0970 and via fax at 866-758-5731. You can also correspond with Robert L Clemons Ii through the mailing address at 101 DEVANT ST, FAYETTEVILLE, GA - 30214-2710 (mailing address contact number: 770-460-0970).

Location: 101 Devant St, Fayetteville, GA, 30214-2710
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1205992146
Provider Name
Robert L Clemons Ii
Credential
Provider Entity Type
Organization
Address
101 Devant St, Fayetteville, GA, 30214-2710
Phone Number
770-460-0970
Fax Number
866-758-5731
Provider Enumeration Date
12/28/2006
Last Update Date
03/12/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
641920572A 05 GA
institution
Provider Business Practice Location Address Details
Address
101 Devant St
City
Fayetteville
State
Georgia
Zip
30214-2710
Phone Number
770-460-0970
Fax Number
866-758-5731
person
Provider Business Mailing Address Details
Address
101 Devant St
City
Fayetteville
State
Georgia
Zip
30214-2710
Phone Number
770-460-0970
Fax Number
866-758-5731
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
(Georgia)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Agencies
Classification
Community/Behavioral Health
Speciality
-
Taxonomy
251S00000X
License No.
004041 (Georgia)
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.
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