Props

LBN: Providence Residential & Outpatient Ptsd Services, Llc
Props is an health care organization with primary practice located at 6576 Church St , Douglasville GA 30134-1884. The organization recently has 14 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Marriage & Family Therapist, Dietary & Nutritional Service Providers / Nutritionist, Dietary & Nutritional Service Providers / Dietetic Technician, Registered, Nursing Service Providers / Psychiatric/Mental Health, Nursing Service Providers / Licensed Practical Nurse, Other Service Providers / Acupuncturist, Other Service Providers / Case Manager/Care Coordinator, Allopathic & Osteopathic Physicians / Psychiatry, Nursing Service Related Providers / Technician. Behavioral Health & Social Service Providers / Clinical is the primary health care specialty. Providence Residential & Outpatient Ptsd Services, Llc can be contacted via phone (770) 577-7873, or through Berry-Mitchell, Felicia via phone (770) 577-7873.

Contact Information

Primary practice address
6576 Church St Douglasville GA 30134-1884
Phone: (770) 577-7873
Fax: (770) 577-7871
Website:
Map and Directions
Authorized official contact:
Name: Berry-Mitchell, Felicia PHD
Phone: (770) 577-7873

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Professional 101YP2500X
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY003237 Georgia
Behavioral Health & Social Service Providers / Social Worker 104100000X
Behavioral Health & Social Service Providers / Clinical 1041C0700X
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X
Dietary & Nutritional Service Providers / Nutritionist 133N00000X
Dietary & Nutritional Service Providers / Dietetic Technician, Registered 136A00000X
Nursing Service Providers / Psychiatric/Mental Health 163WP0808X
Nursing Service Providers / Licensed Practical Nurse 164W00000X
Other Service Providers / Acupuncturist 171100000X
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X
Nursing Service Related Providers / Technician 374700000X

Profile Details

NPI number 1215357272
LBN Legal business name Providence Residential & Outpatient Ptsd Services, Llc
DBA Doing business as Props
Authorized official Berry-Mitchell, Felicia PHD
Entity Organization
Organization subpart 1 No
Enumeration date Apr 17th, 2014
Last updated Apr 17th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215357272 NPPES
Georgia MEDICAID 003132073B

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