Health Rejuvenations Consultant, Inc.

LBN: Health Rejuvenations Consultant, Inc.
Health Rejuvenations Consultant, Inc. is an health care organization with primary practice located at 194 Jonesboro Rd Suite A-6, Jonesboro GA 30236-4812. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Agencies / Community/Behavioral Health. Agencies / Community/Behavioral Health is the primary health care specialty. Health Rejuvenations Consultant, Inc. can be contacted via phone (404) 731-6107, or through Patillo, Doris D'Nin via phone (404) 731-6107.

Contact Information

Primary practice address
194 Jonesboro Rd Suite A-6 Jonesboro GA 30236-4812
Phone: (404) 731-6107
Fax: (404) 366-9947
Website:
Map and Directions
Authorized official contact:
Name: Patillo, Doris D'Nin PSYD. L.P.C., CACII
Phone: (404) 731-6107

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 1594 Georgia
Agencies / Community/Behavioral Health 251S00000X 004196 Georgia

Profile Details

NPI number 1396868824
LBN Legal business name Health Rejuvenations Consultant, Inc.
DBA Doing business as
Authorized official Patillo, Doris D'Nin PSYD. L.P.C., CACII
Entity Organization
Organization subpart 1 No
Enumeration date Apr 9th, 2007
Last updated Jun 8th, 2011 - 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 1396868824 NPPES
Georgia Other 01068080 AMERIGROUP CORPORATION

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