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Tanner Medical Center, Inc
Community/Behavioral Health Agency in Carrollton, Georgia
NPI 1871502260

Tanner Medical Center, Inc is a Community/Behavioral Health Agency based in Carrollton, GA. Tanner Medical Center, Inc practices in Carrollton, GA. The NPI Number for Tanner Medical Center, Inc is 1871502260 and holds a License No. NOT REQUIRED (Georgia).

The current practice location address for Tanner Medical Center, Inc is 101 Doctors Dr, Carrollton, GA and can be reached out via phone at 770-836-9697 and via fax at 770-836-9897.

Location: 101 Doctors Dr, Carrollton, GA, 30117-2667
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1871502260
Provider Name
Tanner Medical Center, Inc
Credential
Provider Entity Type
Organization
Address
101 Doctors Dr, Carrollton, GA, 30117-2667
Phone Number
770-836-9697
Fax Number
770-836-9897
Provider Enumeration Date
08/05/2006
Last Update Date
10/19/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
300027104A 01 GA MEDICAID PAYEE IDENTIFICATION NUMBER
296667723A 05 GA
institution
Provider Business Practice Location Address Details
Address
101 Doctors Dr
City
Carrollton
State
Georgia
Zip
30117-4486
Phone Number
770-836-9697
Fax Number
770-836-9897
person
Provider Business Mailing Address Details
Address
101 Doctors Dr
City
Carrollton
State
Georgia
Zip
30117-4486
Phone Number
770-836-9697
Fax Number
770-836-9897
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
022-426 (Georgia)
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.
person
Provider's Taxonomy Details 2
Type
Agencies
Classification
Community/Behavioral Health
Speciality
-
Taxonomy
251S00000X
License No.
NOT REQUIRED (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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