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
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
497373 GA VALUE OPTIONS
52821111-001 GA BCBS ID#

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FAQs about R Little Enterprises Inc

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.

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