Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ginger Ridge Behavioral Health, LLC

Organization Case Management Agency · NPI 1336424787

Ginger Ridge Behavioral Health, LLC is a Case Management Agency in Fayetteville, Georgia. Licensed in Georgia. Registered with an NPI since 2011.

Licensed in
GA
In the registry since
2011
Specialties on file
5
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

170 Bastille Way Ste C
Fayetteville, GA 30214-7652
Phone: (770) 461-7010
Fax: (770) 461-7100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Mental Health Clinic/Center (primary) Taxonomy 261QM0850X · Licence CSW004018 (GA)
Case Management Agency Taxonomy 251B00000X · Licence CSW004018 (GA)
Community/Behavioral Health Agency Taxonomy 251S00000X · Licence CSW004018 (GA)
Developmental Disabilities Clinic/Center Taxonomy 261QD1600X · Licence CSW004018 (GA)
Adolescent and Children Mental Health Clinic/Center Taxonomy 261QM0855X · Licence CSW004018 (GA)

Record details

NPI number1336424787
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Claudette Idigo — Clinical Social Worker · (678) 428-1728
NPI enumeratedOctober 17, 2011
Last updated in NPPESJanuary 24, 2012
Mailing address170 Bastille Way Ste C, Fayetteville, GA 30214-7652

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