R Little Enterprises Inc in Augusta - Clinical
R Little Enterprises Inc - NPI 1164464814
R Little Enterprises Inc is a Clinical in Augusta, Georgia. R Little Enterprises Inc practices all healthcare services and medical treatments related to Clinical. The NPI Number for R Little Enterprises Inc is 1164464814. The last update date is 2020-08-22.
R Little Enterprises Inc's current location address is 2915 Professional Pkwy, Augusta, Georgia. You can contact this provider via phone number 7063645228 and fax number 7063645229. The mailing address for R Little Enterprises Inc is 2915 Professional Pkwy, Augusta, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | R Little Enterprises Inc |
|---|---|
| Address | 2915 Professional Pkwy, Augusta, Georgia |
| Phone Number | 7063645228 |
| Fax Number | 7063645229 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PSYCHOLOGI |
|---|---|
| Authorized Official Name | Stapleton Connie |
| Credentials | PHD |
| Telephone Number | 7063645228 |
NPI Number Detail
| NPI Number | 1164464814 |
|---|---|
| Provider Enumeration Date | 2006-06-10 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 2915 Professional Pkwy |
|---|---|
| City | Augusta |
| State | Georgia (GA) |
| Post Code | 309076521 |
| Phone Number | 7063645228 |
| Fax Number | 7063645229 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 2412 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 497373 | GA | VALUE OPTIONS | |
| 52821111-001 | GA | BCBS ID# |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to R Little Enterprises Inc by the Centers for Medicare & Medicaid Services?
The R Little Enterprises Inc has been assigned the NPI (National Provider Identifier) 1164464814 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete physical location address of R Little Enterprises Inc?
The R Little Enterprises Inc is physically situated at 2915 Professional Pkwy, in the city of Augusta, state of GA, with the postal code 309076521.
What is R Little Enterprises Inc's specialized field of practice, and what is the corresponding taxonomy classification code?
The R Little Enterprises Inc's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 103Tc0700X.
On what date did the Centers for Medicare & Medicaid Services assign the 1164464814 to R Little Enterprises Inc?
The Centers for Medicare & Medicaid Services assigned the 1164464814 to R Little Enterprises Inc on 2006-06-10.
As of what date were the details pertaining to R Little Enterprises Inc last refreshed?
The information related to the R Little Enterprises Inc, including its address, specialty, and other relevant details, was last updated on 2020-08-22.