Crossroads Church Of Douglasville

LBN: Crossroads Church Of Douglasville
Crossroads Church Of Douglasville is an health care organization with primary practice located at 5960 Stewart Pkwy , Douglasville GA 30135-2372. 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 / Clinical is the primary health care specialty. Crossroads Church Of Douglasville can be contacted via phone (404) 996-0170, or through Mckinney, Justin via phone (404) 996-0170.

Contact Information

Primary practice address
5960 Stewart Pkwy Douglasville GA 30135-2372
Phone: (404) 996-0170
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Mckinney, Justin Licensed Clinical Social Worker (LCSW)
Phone: (404) 996-0170

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X LPC003962 Georgia
Behavioral Health & Social Service Providers / Clinical 1041C0700X CSW005316 Georgia

Profile Details

NPI number 1265838544
LBN Legal business name Crossroads Church Of Douglasville
DBA Doing business as
Authorized official Mckinney, Justin Licensed Clinical Social Worker (LCSW)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 13th, 2014
Last updated Nov 13th, 2014 - 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.

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