The Family Center Of Georgia, Inc.

LBN: The Family Center Of Georgia, Inc.
The Family Center Of Georgia, Inc. is an health care organization with primary practice located at 2520 Hollingsworth St , Lithonia GA 30058-4424. The organization recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Family, Behavioral Health & Social Service Providers / Group Psychotherapy. Behavioral Health & Social Service Providers / Clinical is the primary health care specialty. The Family Center Of Georgia, Inc. can be contacted via phone (770) 484-8834, or through Staten, Halisi Edwards via phone (678) 768-1214.

Contact Information

Primary practice address
2520 Hollingsworth St Lithonia GA 30058-4424
Phone: (770) 484-8834
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Staten, Halisi Edwards PSYD
Phone: (678) 768-1214

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X C0067 Georgia
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY002858 Georgia
Behavioral Health & Social Service Providers / Family 103TF0000X PSY002858 Georgia
Behavioral Health & Social Service Providers / Group Psychotherapy 103TP2701X PSY002858 Georgia

Profile Details

NPI number 1669605127
LBN Legal business name The Family Center Of Georgia, Inc.
DBA Doing business as
Authorized official Staten, Halisi Edwards PSYD
Entity Organization
Organization subpart 1 No
Enumeration date Sep 1st, 2009
Last updated Sep 1st, 2009 - about 16 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 1669605127 NPPES
Georgia MEDICAID 86355324D

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