Imani House Llc

LBN: Imani House Llc
Imani House Llc is an health care organization with primary practice located at 1227 Augusta West Pkwy Ste 8 , Augusta GA 30909-6671. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Imani House Llc can be contacted via phone (706) 825-9051, or through Wilson, Deborah Marie via phone (706) 825-8472.

Contact Information

Primary practice address
1227 Augusta West Pkwy Ste 8 Augusta GA 30909-6671
Phone: (706) 825-9051
Fax: (706) 860-1850
Website:
Map and Directions
Authorized official contact:
Name: Wilson, Deborah Marie LPC, ED.D,CADC, NCC
Phone: (706) 825-8472

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X LPC004458 Georgia
Agencies / Community/Behavioral Health 251S00000X 18226 Texas

Profile Details

NPI number 1487888566
LBN Legal business name Imani House Llc
DBA Doing business as
Authorized official Wilson, Deborah Marie LPC, ED.D,CADC, NCC
Entity Organization
Organization subpart 1 No
Enumeration date May 5th, 2009
Last updated May 5th, 2009 - about 15 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 1487888566 NPPES
Texas MEDICAID 172613501
Texas MEDICAID 184952006A

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