Journey Of Self Discovery, Llc.

LBN: Journey Of Self Discovery, Llc.
Journey Of Self Discovery, Llc. is an health care organization with primary practice located at 4319 Covington Hwy Suite 319, Decatur GA 30035-1210. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Journey Of Self Discovery, Llc. can be contacted via phone (770) 882-4240, or through Mitchell, Warren via phone (770) 882-4240.

Contact Information

Primary practice address
4319 Covington Hwy Suite 319 Decatur GA 30035-1210
Phone: (770) 882-4240
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Mitchell, Warren Licensed Clinical Social Worker (LCSW)
Phone: (770) 882-4240

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X CSW003554 Georgia

Profile Details

NPI number 1467646257
LBN Legal business name Journey Of Self Discovery, Llc.
DBA Doing business as
Authorized official Mitchell, Warren Licensed Clinical Social Worker (LCSW)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 5th, 2007
Last updated Feb 19th, 2016 - about 9 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 1467646257 NPPES
Georgia MEDICAID 185548077A

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