Provider Demographics
NPI:1386019008
Name:CARON OF GEORGIA LLC
Entity Type:Organization
Organization Name:CARON OF GEORGIA LLC
Other - Org Name:CARON ATLANTA/ CARON SOLUTIONS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SR DIRECTOR PATIENT FINANCE
Authorized Official - Prefix:
Authorized Official - First Name:KELLY
Authorized Official - Middle Name:J
Authorized Official - Last Name:CURRENT
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:610-743-6141
Mailing Address - Street 1:PO BOX 150
Mailing Address - Street 2:
Mailing Address - City:WERNERSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:19565-0150
Mailing Address - Country:US
Mailing Address - Phone:610-678-2332
Mailing Address - Fax:
Practice Address - Street 1:1200 ASHWOOD PARKWAY
Practice Address - Street 2:SUITE 125
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30338-6995
Practice Address - Country:US
Practice Address - Phone:678-624-0930
Practice Address - Fax:678-624-0730
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:RICHARD J CARON FOUNDATION
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2015-12-07
Last Update Date:2023-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QR0800XAmbulatory Health Care FacilitiesClinic/CenterRecovery Care
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty