NPI Code Details Logo

NPI 1063464212

NPI 1063464212 : ALBANY AREA COMMUNITY SVC. BOARD : ALBANY, GA

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1063464212
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    ALBANY AREA COMMUNITY SVC. BOARD 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    05/16/2006
-----------------------------------------------------
    Last Update Date     |    01/05/2026
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    1120 W BROAD AVE 
-----------------------------------------------------
    City                 |    ALBANY
-----------------------------------------------------
    State                |    GA
-----------------------------------------------------
    Zip                  |    31707-4397
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    229-430-2954
-----------------------------------------------------
    Fax                  |    229-430-2956
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    PO BOX 1988 
-----------------------------------------------------
    City                 |    ALBANY
-----------------------------------------------------
    State                |    GA
-----------------------------------------------------
    Zip                  |    31702-1988
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    229-430-2954
-----------------------------------------------------
    Fax                  |    229-430-2956
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    CEO
-----------------------------------------------------
    Name                 |     DANA  GLASS 
-----------------------------------------------------
    Credential           |    LCSW
-----------------------------------------------------
    Telephone            |    229-430-4005
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    251K00000X
-----------------------------------------------------
    Taxonomy Name        |    Public Health or Welfare Agency
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.