Provider Demographics
NPI:1841518784
Name:THE HIGHLAND CENTER
Entity type:Organization
Organization Name:THE HIGHLAND CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KAFFIE
Authorized Official - Middle Name:H
Authorized Official - Last Name:SLEDGE
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:706-570-8290
Mailing Address - Street 1:PO BOX 5668
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:GA
Mailing Address - Zip Code:31906-0668
Mailing Address - Country:US
Mailing Address - Phone:706-507-3274
Mailing Address - Fax:706-653-2888
Practice Address - Street 1:2324 FRANCIS ST STE 107
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:GA
Practice Address - Zip Code:31906-2564
Practice Address - Country:US
Practice Address - Phone:706-507-3274
Practice Address - Fax:706-653-2888
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-15
Last Update Date:2010-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA3707251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA1285952218OtherNPPES