Ibml. Llc.
LBN: Integrating Body, Mind And Life, Llc
Ibml. Llc. is an health care organization with primary practice located at 2365 Wall St Se Suite 200-05, Conyers GA 30013-2197. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as the primary health care specialty.
Integrating Body, Mind And Life, Llc can be contacted via phone (866) 298-3447, or through Etienne, Mireille via phone (866) 298-3447.
Contact Information
Primary practice address
2365 Wall St Se Suite 200-05
Conyers GA 30013-2197
Phone: (866) 298-3447
Fax: (866) 261-5260
Website:
Authorized official contact:
Name: Etienne, Mireille Licensed Professional Counselor (LPC)
Phone: (866) 298-3447
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | LPC004290 | Georgia |
Profile Details
| NPI number | 1750559217 |
|---|---|
| LBN Legal business name | Integrating Body, Mind And Life, Llc |
| DBA Doing business as | Ibml. Llc. |
| Authorized official | Etienne, Mireille Licensed Professional Counselor (LPC) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 18th, 2008 |
| Last updated | Feb 14th, 2014 - about 10 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 | 1750559217 | NPPES |
| Georgia | Other | 11824149 | CAQH |
| Georgia | MEDICAID | 476557646A | CAQH |
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