Provider Demographics
NPI:1790566511
Name:NEXT PHASE BEHAVIORAL SOLUTIONS
Entity Type:Organization
Organization Name:NEXT PHASE BEHAVIORAL SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RBT
Authorized Official - Prefix:
Authorized Official - First Name:ANDERMIA
Authorized Official - Middle Name:
Authorized Official - Last Name:HILL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:706-326-4808
Mailing Address - Street 1:5820 VETERANS PKWY STE 303
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:GA
Mailing Address - Zip Code:31904-3452
Mailing Address - Country:US
Mailing Address - Phone:706-905-5525
Mailing Address - Fax:
Practice Address - Street 1:5820 VETERANS PKWY STE 303
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:GA
Practice Address - Zip Code:31904-3452
Practice Address - Country:US
Practice Address - Phone:706-905-5525
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-09
Last Update Date:2023-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior TechnicianGroup - Multi-Specialty