Families Forward Llc

LBN: Families Forward Llc
Families Forward Llc is an health care organization with primary practice located at 3711 Executive Center Dr Suite 101, Martinez GA 30907-0951. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Child & Adolescent, which is considered as the primary health care specialty. Families Forward Llc can be contacted via phone (706) 210-8855, or through Delancy, Dara A via phone (706) 210-8855.

Contact Information

Primary practice address
3711 Executive Center Dr Suite 101 Martinez GA 30907-0951
Phone: (706) 210-8855
Fax: (678) 541-7699
Website:
Map and Directions
Authorized official contact:
Name: Delancy, Dara A PSY.D.
Phone: (706) 210-8855

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X PSY003096 Georgia

Profile Details

NPI number 1962750869
LBN Legal business name Families Forward Llc
DBA Doing business as
Authorized official Delancy, Dara A PSY.D.
Entity Organization
Organization subpart 1 No
Enumeration date Aug 27th, 2012
Last updated Nov 7th, 2012 - about 13 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 1962750869 NPPES
Georgia MEDICAID 447024026C

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