Health Rejuvenations Consultant, Inc. in Ellenwood - Addiction (substance Use Disorder)
Health Rejuvenations Consultant, Inc. - NPI 1396868824
Health Rejuvenations Consultant, Inc. is a Addiction (substance Use Disorder) in Ellenwood, Georgia. Health Rejuvenations Consultant, Inc. practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Health Rejuvenations Consultant, Inc. is 1396868824. The last update date is 2011-06-08.
Health Rejuvenations Consultant, Inc.'s current location address is 4588 Bouldercrest Rd, Ellenwood, Georgia. You can contact this provider via phone number 4047316107 and fax number 4043669947. The mailing address for Health Rejuvenations Consultant, Inc. is 4588 Bouldercrest Rd, Ellenwood, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Health Rejuvenations Consultant, Inc. |
|---|---|
| Address | 4588 Bouldercrest Rd, Ellenwood, Georgia |
| Phone Number | 4047316107 |
| Fax Number | 4043669947 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO-PSYCHO |
|---|---|
| Authorized Official Name | Patillo D'Nin Doris |
| Credentials | PSYD. L.P. |
| Telephone Number | 4047316107 |
NPI Number Detail
| NPI Number | 1396868824 |
|---|---|
| Provider Enumeration Date | 2007-04-09 |
| Last Updated Date | 2011-06-08 |
Provider Mailing Address Detail
| Address | 4588 Bouldercrest Rd |
|---|---|
| City | Ellenwood |
| State | Georgia (GA) |
| Post Code | 302943613 |
| Phone Number | 4047316107 |
| Fax Number | 4043669947 |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 101Ya0400X |
| Licence No | 1594 |
|
Definition: A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1068080 | GA | AMERIGROUP CORPORATION |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Health Rejuvenations Consultant, Inc. by the Centers for Medicare & Medicaid Services?
The Health Rejuvenations Consultant, Inc. has been issued the NPI (National Provider Identifier) 1396868824, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Health Rejuvenations Consultant, Inc. is physically located?
The Health Rejuvenations Consultant, Inc. is physically situated at the following address: 4588 Bouldercrest Rd, Ellenwood, GA, 302943613.
What is Health Rejuvenations Consultant, Inc.'s area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Health Rejuvenations Consultant, Inc. is Addiction (substance Use Disorder), and the taxonomy code that categorizes this field of expertise is 101Ya0400X.
When did the Health Rejuvenations Consultant, Inc. receive its 1396868824?
The Health Rejuvenations Consultant, Inc. was issued its 1396868824 on 2007-04-09, which is the date when the organization was assigned this unique identifier.
When was the information regarding Health Rejuvenations Consultant, Inc. most recently updated?
The details pertaining to the Health Rejuvenations Consultant, Inc., including its address, specialty, and other relevant information, were last refreshed on 2011-06-08.