First Response Counseling & Intervention Llc
LBN: First Response Counseling & Intervention Llc
First Response Counseling & Intervention Llc is an health care organization with primary practice located at 6053 N Henry Blvd Suite C, Stockbridge GA 30281-3081. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as the primary health care specialty.
First Response Counseling & Intervention Llc can be contacted via phone (678) 545-4285, or through Kellam, Damien via phone (678) 545-4285.
Contact Information
Primary practice address
6053 N Henry Blvd Suite C
Stockbridge GA 30281-3081
Phone: (678) 545-4285
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | LPC005815 | Georgia |
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | LPC005856 | Georgia |
Profile Details
| NPI number | 1093111049 |
|---|---|
| LBN Legal business name | First Response Counseling & Intervention Llc |
| DBA Doing business as | |
| Authorized official | Kellam, Damien M.A.,LPC,PHD ABD |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 18th, 2014 |
| Last updated | Nov 18th, 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 | 1093111049 | NPPES |
| Georgia | MEDICAID | 003134017A | |
| Georgia | MEDICAID | 003134017B |
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