Provider Demographics
NPI:1629710306
Name:CAUSEY, JOSEPH COLSON (MED, CAADC)
Entity Type:Individual
Prefix:MR
First Name:JOSEPH
Middle Name:COLSON
Last Name:CAUSEY
Suffix:
Gender:M
Credentials:MED, CAADC
Other - Prefix:MR
Other - First Name:COLE
Other - Middle Name:
Other - Last Name:CAUSEY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:625 W LAKE DR
Mailing Address - Street 2:
Mailing Address - City:ATHENS
Mailing Address - State:GA
Mailing Address - Zip Code:30606-4117
Mailing Address - Country:US
Mailing Address - Phone:706-255-8295
Mailing Address - Fax:
Practice Address - Street 1:740 PRINCE AVENUE
Practice Address - Street 2:BUILDING 14
Practice Address - City:ATHENS
Practice Address - State:GA
Practice Address - Zip Code:30606
Practice Address - Country:US
Practice Address - Phone:706-255-8295
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-04-12
Last Update Date:2022-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAC680101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Single Specialty