Connect Four Counseling Llc

LBN: Connect Four Counseling Llc
Connect Four Counseling Llc is an health care organization with primary practice located at 2020 Avalon Pkwy Suite 375, Mcdonough GA 30253-3087. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Connect Four Counseling Llc can be contacted via phone (678) 833-1664, or through Miller, Shawnette Nichole via phone (678) 833-1664.

Contact Information

Primary practice address
2020 Avalon Pkwy Suite 375 Mcdonough GA 30253-3087
Phone: (678) 833-1664
Fax: (678) 604-8585
Website:
Map and Directions
Authorized official contact:
Name: Miller, Shawnette Nichole Licensed Clinical Social Worker (LCSW)
Phone: (678) 833-1664

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X CSW004801 Georgia

Profile Details

NPI number 1083086581
LBN Legal business name Connect Four Counseling Llc
DBA Doing business as
Authorized official Miller, Shawnette Nichole Licensed Clinical Social Worker (LCSW)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 22nd, 2015
Last updated Oct 22nd, 2015 - about 9 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 1083086581 NPPES
Georgia MEDICAID 003155030A

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