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BROKEN CHAINS INTERNATIONAL INC NPI 1063894533


NPI Information

NPI: 1063894533
Provider Name: BROKEN CHAINS INTERNATIONAL, INC
Classification: Counselor - 101YP2500X
Entity Type: Organization

Specialization: Professional

Address:
3950 COBB PKWY NW
SUITE 902
ACWORTH, GA
ZIP 30101
Phone: (678) 278-8345
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BROKEN CHAINS INTERNATIONAL, INC is a professional counselor in Acworth, GA. BROKEN CHAINS INTERNATIONAL, INC NPI is 1063894533. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3950 COBB PKWY NW
SUITE 902
ACWORTH, GA
ZIP 30101-532
Phone: (678) 278-8345

The provider's authorized official is Kevin F Daly .
The authorized official title is Cfo and has the following contact phone number (678) 278-8345.

The enumeration date for this NPI number is 6/22/2015 and was last updated on 6/22/2015.


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
1101YP1600XCounselorPastoralNo
2106H00000XMarriage & Family TherapistNo
3101YP2500XCounselorProfessionalLPC008385GEORGIAYes

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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