Provider Demographics
NPI:1578125282
Name:GEORGIA TREATMENT SERVICES LLC
Entity type:Organization
Organization Name:GEORGIA TREATMENT SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:
Authorized Official - Last Name:THOMPSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:918-289-0270
Mailing Address - Street 1:7134 S YALE AVE STE 560
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74136-6352
Mailing Address - Country:US
Mailing Address - Phone:478-788-0066
Mailing Address - Fax:478-785-3104
Practice Address - Street 1:6132 HAWKINSVILL ROAD
Practice Address - Street 2:
Practice Address - City:MACON
Practice Address - State:GA
Practice Address - Zip Code:31216
Practice Address - Country:US
Practice Address - Phone:478-788-0066
Practice Address - Fax:478-785-3104
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-02
Last Update Date:2024-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2800XAmbulatory Health Care FacilitiesClinic/CenterMethadone
No251S00000XAgenciesCommunity/Behavioral Health