Promedica, Inc. in Loganville - Mental Health
Promedica, Inc. - NPI 1922036508
Promedica, Inc. is a Mental Health in Loganville, Georgia. Promedica, Inc. practices all healthcare services and medical treatments related to Mental Health. The NPI Number for Promedica, Inc. is 1922036508. The last update date is 2008-04-28.
Promedica, Inc.'s current location address is 2430 Tucker Dr, Loganville, Georgia. You can contact this provider via phone number 7705548812 and fax number 7705549810. The mailing address for Promedica, Inc. is 2430 Tucker Dr, Loganville, Georgia. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Promedica, Inc. |
---|---|
Address | 2430 Tucker Dr, Loganville, Georgia |
Phone Number | 7705548812 |
Fax Number | 7705549810 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | PRESIDENT |
---|---|
Authorized Official Name | Littrell H. Kimberly |
Credentials | MS, APRN, |
Telephone Number | 7705548812 |
NPI Number Detail
NPI Number | 1922036508 |
---|---|
Provider Enumeration Date | 2006-06-30 |
Last Updated Date | 2008-04-28 |
Provider Mailing Address Detail
Address | 2430 Tucker Dr |
---|---|
City | Loganville |
State | Georgia (GA) |
Post Code | 300524390 |
Phone Number | 7705548812 |
Fax Number | 7705549810 |
Provider's Primary Taxonomy Detail
Speciality | Mental Health |
---|---|
Taxonomy | 101Ym0800X |
Licence No | 29689 |
Definition: A counselor who helps people manage conditions like depression, anxiety, grief, relationship issues, and more. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
00345408A | GA | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Promedica, Inc. by the Centers for Medicare & Medicaid Services?
The Promedica, Inc. has been issued the NPI (National Provider Identifier) 1922036508. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Promedica, Inc.?
The Promedica, Inc. is situated at 2430 Tucker Dr, in the city of Loganville, state of GA, with the zip code 300524390.
What is Promedica, Inc.'s area of expertise and its corresponding taxonomy classification?
The Promedica, Inc.'s field of specialization is Mental Health, and it falls under the taxonomy code 101Ym0800X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services issue the 1922036508 to Promedica, Inc.?
The Promedica, Inc. received its 1922036508 assignment from the Centers for Medicare & Medicaid Services on 2006-06-30.
As of what date were the Promedica, Inc.'s details last updated?
The information pertaining to the Promedica, Inc., including its address, specialty, and other details, was most recently updated on 2008-04-28.