Family 360 Incorporated

LBN: Family 360 Incorporated
Family 360 Incorporated is an health care organization with primary practice located at 2215 Exchange Pl Se Ste A , Conyers GA 30013-6723. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as the primary health care specialty. Family 360 Incorporated can be contacted via phone (770) 679-0586, or through Maul, Desmond Orville via phone (770) 679-0586.

Contact Information

Primary practice address
2215 Exchange Pl Se Ste A Conyers GA 30013-6723
Fax: (770) 554-9349
Website:
Authorized official contact:
Name: Maul, Desmond Orville

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X MFT 001191 Georgia

Profile Details

NPI number 1003113184
LBN Legal business name Family 360 Incorporated
DBA Doing business as
Authorized official Maul, Desmond Orville
Entity Organization
Organization subpart 1 No
Enumeration date Feb 25th, 2011
Last updated Feb 7th, 2024 - about 2 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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