Center For Authentic Life & Relationship, Llc

LBN: Center For Authentic Life & Relationship, Llc
Center For Authentic Life & Relationship, Llc is an health care organization with primary practice located at 1426 Olde Forge Ln , Woodstock GA 30189-1553. The organization recently has only one registered license in Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), which is considered as the primary health care specialty. Center For Authentic Life & Relationship, Llc can be contacted via phone (678) 516-6902, or through Blankenship, Roy Alin via phone (678) 516-6902.

Contact Information

Primary practice address
1426 Olde Forge Ln Woodstock GA 30189-1553
Phone: (678) 516-6902
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Blankenship, Roy Alin LPC, LMFT
Phone: (678) 516-6902

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X

Profile Details

NPI number 1366906778
LBN Legal business name Center For Authentic Life & Relationship, Llc
DBA Doing business as
Authorized official Blankenship, Roy Alin LPC, LMFT
Entity Organization
Organization subpart 1 No
Enumeration date Jan 30th, 2019
Last updated Jan 30th, 2019 - about 5 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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