Connected Roots Youth Counseling Services Llc
LBN: Connected Roots Youth Counseling Services Llc
Connected Roots Youth Counseling Services Llc is an health care organization with primary practice located at 300 Ashley Park Blvd Apt 2014 , Newnan GA 30263-6419. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Professional is the primary health care specialty.
Connected Roots Youth Counseling Services Llc can be contacted via phone (740) 807-1506, or through Bristow, Stacey via phone (740) 807-1506.
Contact Information
Primary practice address
300 Ashley Park Blvd Apt 2014
Newnan GA 30263-6419
Phone: (740) 807-1506
Fax: (678) 306-8663
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | ||
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X |
Profile Details
| NPI number | 1487316808 |
|---|---|
| LBN Legal business name | Connected Roots Youth Counseling Services Llc |
| DBA Doing business as | |
| Authorized official | Bristow, Stacey BS |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 13th, 2021 |
| Last updated | Mar 28th, 2022 - about 3 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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