Rebuilding Lives Counseling And Consulting Llc

LBN: Rebuilding Lives Counseling And Consulting Llc
Rebuilding Lives Counseling And Consulting Llc is an health care organization with primary practice located at 4411 Suwanee Dam Rd Suite 635, Suwanee GA 30024-8701. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as the primary health care specialty. Rebuilding Lives Counseling And Consulting Llc can be contacted via phone (678) 835-8144, or through Penland, Nedra Tamara via phone (678) 835-8144.

Contact Information

Primary practice address
4411 Suwanee Dam Rd Suite 635 Suwanee GA 30024-8701
Fax:
Website:
Authorized official contact:
Name: Penland, Nedra Tamara Licensed Professional Counselor (LPC)

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 005762 Georgia

Profile Details

NPI number 1215288097
LBN Legal business name Rebuilding Lives Counseling And Consulting Llc
DBA Doing business as
Authorized official Penland, Nedra Tamara Licensed Professional Counselor (LPC)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 20th, 2012
Last updated Dec 5th, 2012 - about 12 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 1215288097 NPPES
Georgia MEDICAID 006862116A

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