IMMERSIVE PROPERTIES LLC NPI 1033699301

NPI Information

NPI: 1033699301
Provider Name: IMMERSIVE PROPERTIES, LLC

Doing Business As: EVOLVE THERAPY AND CONSULTING

Classification: Counselor - 101YP2500X
Entity Type: Organization

Specialization: Professional

Address:
1400 BUFORD HWY STE R-8
BUFORD, GA
ZIP 30518
Phone: (404) 507-6202
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IMMERSIVE PROPERTIES, LLC is a professional counselor in Buford, GA. IMMERSIVE PROPERTIES, LLC NPI is 1033699301. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Evolve Therapy And Consulting.

The provider's business location address is:

1400 BUFORD HWY STE R-8
BUFORD, GA
ZIP 30518-721
Phone: (404) 507-6202

The provider's authorized official is Sarah Miles Brown .
The authorized official title is Licensed Professional Counselor and has the following contact phone number (404) 507-6202.

The enumeration date for this NPI number is 8/16/2018 and was last updated on 8/16/2018.

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
1	101YP2500X	Counselor	Professional	LPC007974	GEORGIA	Yes

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

NPI Synchronization or Removal

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