Amazon Self Development, Llc in Augusta - Community/behavioral Health
Amazon Self Development, Llc - NPI 1700062437
Amazon Self Development, Llc is a Community/behavioral Health in Augusta, Georgia. Amazon Self Development, Llc practices all healthcare services and medical treatments related to Community/behavioral Health. The NPI Number for Amazon Self Development, Llc is 1700062437. The last update date is 2008-01-17.
Amazon Self Development, Llc's current location address is 821 12th Sreet, Augusta, Georgia. You can contact this provider via phone number 7064323600 and fax number 7064323621. The mailing address for Amazon Self Development, Llc is 821 12th Sreet, Augusta, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Amazon Self Development, Llc |
|---|---|
| Address | 821 12th Sreet, Augusta, Georgia |
| Phone Number | 7064323600 |
| Fax Number | 7064323621 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Smith Myra |
| Telephone Number | 7064323600 |
NPI Number Detail
| NPI Number | 1700062437 |
|---|---|
| Provider Enumeration Date | 2008-01-11 |
| Last Updated Date | 2008-01-17 |
Provider Mailing Address Detail
| Address | 821 12th Sreet |
|---|---|
| City | Augusta |
| State | Georgia (GA) |
| Post Code | 30901 |
| Phone Number | 7064323600 |
| Fax Number | 7064323621 |
Provider's Primary Taxonomy Detail
| Speciality | Community/behavioral Health |
|---|---|
| Taxonomy | 251S00000X |
| Licence No | LPC005104 |
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Definition: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those dis |
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What is the unique 10-digit identifier code assigned to Amazon Self Development, Llc by the Centers for Medicare & Medicaid Services?
The Amazon Self Development, Llc has been issued the NPI (National Provider Identifier) 1700062437 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Can you provide the Amazon Self Development, Llc's physical address?
The Amazon Self Development, Llc is physically located at 821 12Th Sreet, in the city of Augusta, GA, with the postal code 30901.
What is the Amazon Self Development, Llc's area of specialization and corresponding taxonomy classification?
The Amazon Self Development, Llc's specialty field is Community/behavioral Health, and it falls under the taxonomy code 251S00000X, which categorizes healthcare providers based on their specialties.
On what date did Amazon Self Development, Llc receive its 1700062437 assignment from the Centers for Medicare & Medicaid Services?
The Amazon Self Development, Llc was assigned its 1700062437 on 2008-01-11, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Amazon Self Development, Llc last refreshed?
The information related to the Amazon Self Development, Llc, including its address, specialty, and other relevant details, was last updated on 2008-01-17.
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