Diverse Therapy Inc
LBN: Diverse Therapy Inc
Diverse Therapy Inc is an health care organization with primary practice located at 6740 James B Rivers Dr , Stone Mountain GA 30083-2235. The organization recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, Speech, Language and Hearing Service Providers / Speech-Language Pathologist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist is the primary health care specialty.
Diverse Therapy Inc can be contacted via phone (678) 250-3250, or through Tomlinson, Michelle A via phone (678) 250-3250.
Contact Information
Primary practice address
6740 James B Rivers Dr
Stone Mountain GA 30083-2235
Phone: (678) 250-3250
Fax: (470) 375-8754
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | ||
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X |
Profile Details
| NPI number | 1700285178 |
|---|---|
| LBN Legal business name | Diverse Therapy Inc |
| DBA Doing business as | |
| Authorized official | Tomlinson, Michelle A OTD, OTR/L |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 21st, 2014 |
| Last updated | Aug 21st, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1700285178 | NPPES |
| Georgia | MEDICAID | 451911248G |
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