Medical Group Consultant Llc
LBN: Medical Group Consultant Llc
Medical Group Consultant Llc is an health care organization with primary practice located at 6337 Highway 42 Suite 3, Rex GA 30273-1651. The organization recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is the primary health care specialty.
Medical Group Consultant Llc can be contacted via phone (404) 895-5510, or through Mims, Holly via phone (410) 905-5678.
Contact Information
Primary practice address
6337 Highway 42 Suite 3
Rex GA 30273-1651
Phone: (404) 895-5510
Fax:
Website:
Authorized official contact:
Name: Mims, Holly Licensed Professional Counselor (LPC)
Phone: (410) 905-5678
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X | LPC5081 | Georgia |
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | LPC5081 | Georgia |
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | LPC5081 | Georgia |
Profile Details
| NPI number | 1346586567 |
|---|---|
| LBN Legal business name | Medical Group Consultant Llc |
| DBA Doing business as | |
| Authorized official | Mims, Holly Licensed Professional Counselor (LPC) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Dec 15th, 2012 |
| Last updated | Dec 15th, 2012 - about 14 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 | 1346586567 | NPPES |
| Georgia | MEDICAID | 003127731A |
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