Destination Greatness-Georgia, Llc
LBN: Destination Greatness-Georgia, Llc
Destination Greatness-Georgia, Llc is an health care organization with primary practice located at 3343 Peachtree Rd Ne Ste 145-1058 , Atlanta GA 30326-1085. The organization recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Counseling, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is the primary health care specialty.
Destination Greatness-Georgia, Llc can be contacted via phone (800) 647-3345, or through Jefferson, Shanna Amanda via phone (800) 647-3345.
Contact Information
Primary practice address
3343 Peachtree Rd Ne Ste 145-1058
Atlanta GA 30326-1085
Phone: (800) 647-3345
Fax: (866) 923-0754
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | ||
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | ||
Behavioral Health & Social Service Providers / Counseling | 103TC1900X | ||
Behavioral Health & Social Service Providers / Clinical | 1041C0700X |
Profile Details
NPI number | 1225582562 |
---|---|
LBN Legal business name | Destination Greatness-Georgia, Llc |
DBA Doing business as | |
Authorized official | Jefferson, Shanna Amanda |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Aug 3rd, 2016 |
Last updated | Feb 10th, 2021 - 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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