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HARBOR SPRINGS COUNSELING SERVICES LLC NPI 1154889665


NPI Information

NPI: 1154889665
Provider Name: HARBOR SPRINGS COUNSELING SERVICES LLC

Other Name: NONE

Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

CLIA Number: 11D2145558

Address:
1790 MULKEY RD STE 3A
AUSTELL, GA
ZIP 30106
Phone: (770) 693-9388
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HARBOR SPRINGS COUNSELING SERVICES LLC is a rehabilitation and substance use disorder clinic center in Austell, GA. HARBOR SPRINGS COUNSELING SERVICES LLC NPI is 1154889665. The provider is registered as an organization entity type.
The provider Other Name Is None.

The provider's business location address is:

1790 MULKEY RD STE 3A
AUSTELL, GA
ZIP 30106-122
Phone: (770) 693-9388
Fax: (770) 693-9537

The provider's authorized official is Kimberly C Henderson .
The authorized official title is Pharmacist and has the following contact phone number (404) 271-8768.

The CLIA number assigned to this NPI record is 11D2145558 - comp. outpatient rehab facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/5/2019 and was last updated on 4/6/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261Q00000XClinic/CenterNo
2261QR0405XClinic/CenterRehabilitation, Substance Use DisorderYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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