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Alicia Antoinette Greene
Community/Behavioral Health Agency in Statham, Georgia
NPI 1447939111

Alicia Antoinette Greene is a Community/Behavioral Health Agency based in Statham, GA. Alicia Antoinette Greene practices in Statham, GA. The NPI Number for Alicia Antoinette Greene is 1447939111 and holds a License No. (Georgia).

The current practice location address for Alicia Antoinette Greene is 956 Graham Campbell Ln, Statham, GA and can be reached out via phone at 404-723-0715.

Location: 956 Graham Campbell Ln, Statham, GA, 30666-1896
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1447939111
Provider Name
Alicia Antoinette Greene
Credential
Provider Entity Type
Individual
Gender
Female
Address
956 Graham Campbell Ln, Statham, GA, 30666-1896
Phone Number
404-723-0715
Fax Number
Provider Enumeration Date
07/11/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
956 Graham Campbell Ln
City
Statham
State
Georgia
Zip
30666-1896
Phone Number
404-723-0715
Fax Number
person
Provider Business Mailing Address Details
Address
956 Graham Campbell Ln
City
Statham
State
Georgia
Zip
30666-1896
Phone Number
404-723-0715
Fax Number
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Community/Behavioral Health
Speciality
-
Taxonomy
251S00000X
License No.
(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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