The Fern Center For Life

LBN: The Fern Center For Life
The Fern Center For Life is an health care organization with primary practice located at 158 Moreland Ave Se , Atlanta GA 30316-1676. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Counseling, which is considered as the primary health care specialty. The Fern Center For Life can be contacted via phone (404) 694-4205, or through Grange, Christina via phone (404) 694-4205.

Contact Information

Primary practice address
158 Moreland Ave Se Atlanta GA 30316-1676
Phone: (404) 694-4205
Fax: (877) 759-8014
Website:
Map and Directions
Authorized official contact:
Name: Grange, Christina PHD
Phone: (404) 694-4205

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counseling 103TC1900X

Profile Details

NPI number 1477111334
LBN Legal business name The Fern Center For Life
DBA Doing business as
Authorized official Grange, Christina PHD
Entity Organization
Organization subpart 1 No
Enumeration date Jun 4th, 2019
Last updated Jun 4th, 2019 - about 6 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 1477111334 NPPES
Georgia Other 003766 LICENSE

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