Blue Iris Therapeutic Services

LBN: Blue Iris Therapeutic Services
Blue Iris Therapeutic Services is an health care organization with primary practice located at 865 Herbert Kessler Rd , Guyton GA 31312-5810. The organization recently has 3 registered licenses in different health care specialties including 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 / Mental Health (Including Community Mental Health Center) is the primary health care specialty. Blue Iris Therapeutic Services can be contacted via phone (912) 658-0399, or through Brown, Whitney M. via phone (912) 658-0399.

Contact Information

Primary practice address
865 Herbert Kessler Rd Guyton GA 31312-5810
Phone: (912) 658-0399
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Brown, Whitney M. Licensed Clinical Social Worker (LCSW)
Phone: (912) 658-0399

Health care specialties

SpecialtyCodeLicense #State
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 1518558410
LBN Legal business name Blue Iris Therapeutic Services
DBA Doing business as
Authorized official Brown, Whitney M. Licensed Clinical Social Worker (LCSW)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 2nd, 2021
Last updated Oct 31st, 2022 - about 2 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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