Mirror Image Group, Llc in Lawrenceville - Professional
Mirror Image Group, Llc - NPI 1275741639
Mirror Image Group, Llc is a Professional in Lawrenceville, Georgia. Mirror Image Group, Llc practices all healthcare services and medical treatments related to Professional. The NPI Number for Mirror Image Group, Llc is 1275741639. The last update date is 2016-02-10.
Mirror Image Group, Llc's current location address is 285 S Perry St, Lawrenceville, Georgia. You can contact this provider via phone number 4044527752. The mailing address for Mirror Image Group, Llc is 285 S Perry St, Lawrenceville, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Mirror Image Group, Llc |
|---|---|
| Address | 285 S Perry St, Lawrenceville, Georgia |
| Phone Number | 4044527752 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Kahn Rene Alison |
| Telephone Number | 4044527752 |
NPI Number Detail
| NPI Number | 1275741639 |
|---|---|
| Provider Enumeration Date | 2007-05-18 |
| Last Updated Date | 2016-02-10 |
Provider Mailing Address Detail
| Address | 285 S Perry St |
|---|---|
| City | Lawrenceville |
| State | Georgia (GA) |
| Post Code | 300464840 |
| Phone Number | 4044527752 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Professional |
|---|---|
| Taxonomy | 101Yp2500X |
| Licence No | APC000985 |
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Definition: A general counselor who helps people with personal, social, educational, and career issues. |
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What is the Mirror Image Group, Llc's 1275741639?
The Mirror Image Group, Llc's NPI (National Provider Identifier) Number is 1275741639. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Mirror Image Group, Llc?
The Mirror Image Group, Llc is physically situated at 285 S Perry St, in the city of Lawrenceville, state of GA, with the postal code 300464840.
What is Mirror Image Group, Llc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Mirror Image Group, Llc is Professional, and the corresponding taxonomy classification code for this specialized field is 101Yp2500X.
On what date did the Centers for Medicare & Medicaid Services assign the 1275741639 to Mirror Image Group, Llc?
The Centers for Medicare & Medicaid Services assigned the 1275741639 to Mirror Image Group, Llc on 2007-05-18.
When was the information regarding Mirror Image Group, Llc most recently updated?
The details pertaining to the Mirror Image Group, Llc, including its address, specialty, and other relevant information, were last refreshed on 2016-02-10.
NPI Number: 1841294345
Address: 11435 Wellshire Commons Cir Apt 1808, Charlotte, NC