MEDICARE: CARLINE DIE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number
1	106E00000X	Assistant Behavior Analyst	RBT-21-193003
2	222Q00000X	Developmental Therapist
3	103K00000X	Behavior Analyst	1-18-30146

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1003222696
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CARLINE DIE

Provider Business Mailing Address
First Line	:	6003 VETERANS PKWY STE 206
Second Line	:
City	:	COLUMBUS
State	:	GA
Zip	:	31909-6200
Country	:	US
Telephone Number	:	706-905-5525
Fax Number	:

Provider Business Practice Location Address
First Line	:	6003 VETERANS PKWY STE 206
Second Line	:
City	:	COLUMBUS
State	:	GA
Zip	:	31909-6200
Country	:	US
Telephone Number	:	706-905-5525
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/03/2014
Last Update Date	:	10/18/2022

Similar Medicare Providers

1992653349 — ILYASAH ARIANA BROWN-BUSH
Practice Location Address:

6003 VETERANS PKWY
COLUMBUS, GA
31909-6200

Practice Phone: 770-758-4222
Practice Fax:

1538113584 — HCA HEALTH SERVICES OF GEORGIA, INC.
Practice Location Address:

101 FRIST CT
COLUMBUS, GA
31909-6200

Practice Phone: 706-494-2100
Practice Fax: 706-494-4664

1255544581 — COURTNEY WHITAKER PMHNP
Practice Location Address:

6003 VETERANS PKWY
COLUMBUS, GA
31909-6200

Practice Phone: 706-223-1933
Practice Fax: 706-223-1934

1023362852 — RIVERTOWN PSYCHIATRY, PC
Practice Location Address:

6003 VETERANS PKWY
COLUMBUS, GA
31909-6200

Practice Phone: 706-223-1933
Practice Fax: 706-223-1934

1770046880 — NEXT PHASE BEHAVIORAL SOLUTIONS LLC
Practice Location Address:

6003 VETERANS PKWY STE 206
COLUMBUS, GA
31909-6200

Practice Phone: 706-905-5525
Practice Fax: 706-956-5441

1811572217 — SHANTERIA GAINES
Practice Location Address:

6003 VETERANS PKWY
COLUMBUS, GA
31909-6200

Practice Phone: 229-603-2917
Practice Fax:

Directions to “ CARLINE DIE ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.