Purpose Community Therapeutic Services, Llc
LBN: Chantay Golson
Purpose Community Therapeutic Services, Llc is an health care organization with primary practice located at 1031 Railroad St Nw Suite B, Conyers GA 30012-5108. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as the primary health care specialty.
Chantay Golson can be contacted via phone (770) 280-7288, or through Golson, Chantay via phone (770) 280-7288.
Contact Information
Primary practice address
1031 Railroad St Nw Suite B
Conyers GA 30012-5108
Phone: (770) 280-7288
Fax: (770) 983-6098
Website:
Authorized official contact:
Name: Golson, Chantay Licensed Professional Counselor (LPC)
Phone: (770) 280-7288
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Professional | 101YP2500X |
Profile Details
NPI number | 1700125754 |
---|---|
LBN Legal business name | Chantay Golson |
DBA Doing business as | Purpose Community Therapeutic Services, Llc |
Authorized official | Golson, Chantay Licensed Professional Counselor (LPC) |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Feb 12th, 2013 |
Last updated | Jul 9th, 2013 - about 11 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1700125754 | NPPES |
Georgia | MEDICAID | 003126621A |
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