Asfc Outreach Therapeutic Counseling Services, Llc

LBN: Asfc Outreach Therapeutic Counseling Services, Llc
Asfc Outreach Therapeutic Counseling Services, Llc is an health care organization with primary practice located at 1755 North Brown Road, Suite 200 , Lawrenceville GA 30043. The organization recently has 8 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Agencies / Case Management, Agencies / Community/Behavioral Health, Ambulatory Health Care Facilities / Community Health, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Ambulatory Health Care Facilities / Adult Mental Health, Ambulatory Health Care Facilities / Adolescent and Children Mental Health. Ambulatory Health Care Facilities / Community Health is the primary health care specialty. Asfc Outreach Therapeutic Counseling Services, Llc can be contacted via phone (770) 787-3788, or through Clark, Angela via phone (770) 787-3788.

Contact Information

Primary practice address
1755 North Brown Road, Suite 200 Lawrenceville GA 30043
Phone: (770) 787-3788
Fax: (770) 786-5159
Website:
Map and Directions
Authorized official contact:
Name: Clark, Angela CEO/MBA
Phone: (770) 787-3788

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Agencies / Case Management 251B00000X
Agencies / Community/Behavioral Health 251S00000X
Ambulatory Health Care Facilities / Community Health 261QC1500X
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X
Ambulatory Health Care Facilities / Adolescent and Children Mental Health 261QM0855X

Profile Details

NPI number 1932611688
LBN Legal business name Asfc Outreach Therapeutic Counseling Services, Llc
DBA Doing business as
Authorized official Clark, Angela CEO/MBA
Entity Organization
Organization subpart 1 No
Enumeration date Nov 2nd, 2017
Last updated Nov 2nd, 2017 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1932611688 NPPES
Georgia MEDICAID 942032473A

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