Grace Fomunung Sole Mbr

LBN: Jehovahs Behavioral Care Llc
Grace Fomunung Sole Mbr is an health care organization with primary practice located at 3206 Thimbleberry Trl , Dacula GA 30019-7299. The organization recently has 4 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Health Service, Ambulatory Health Care Facilities / Adult Mental Health, Ambulatory Health Care Facilities / Adolescent and Children Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is the primary health care specialty. Jehovahs Behavioral Care Llc can be contacted via phone (404) 819-7338, or through Fomunung, Grace via phone (404) 819-7338.

Contact Information

Primary practice address
3206 Thimbleberry Trl Dacula GA 30019-7299
Phone: (404) 819-7338
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Fomunung, Grace PMHNP
Phone: (404) 819-7338

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Health Service 261QH0100X
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X
Ambulatory Health Care Facilities / Adolescent and Children Mental Health 261QM0855X
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X

Profile Details

NPI number 1619612876
LBN Legal business name Jehovahs Behavioral Care Llc
DBA Doing business as Grace Fomunung Sole Mbr
Authorized official Fomunung, Grace PMHNP
Entity Organization
Organization subpart 1 No
Enumeration date May 2nd, 2022
Last updated Nov 15th, 2022 - about 3 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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