GEORGIA MOUNTAIN COMMUNITY SVCS NPI 1265702013

NPI Information

NPI: 1265702013
Provider Name: GEORGIA MOUNTAIN COMMUNITY SVCS

Doing Business As: AVITA COMMUNITY PARTNERS

Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
4331 THURMOND TANNER PKWY
FLOWERY BRANCH, GA
ZIP 30542
Phone: (678) 513-5700
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GEORGIA MOUNTAIN COMMUNITY SVCS is a mental health counselor in Flowery Branch, GA. GEORGIA MOUNTAIN COMMUNITY SVCS NPI is 1265702013. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Avita Community Partners.

The provider's business location address is:

4331 THURMOND TANNER PKWY
FLOWERY BRANCH, GA
ZIP 30542-829
Phone: (678) 513-5700
Fax: (678) 513-5836

The provider's authorized official is Michelle Evie Miller .
The authorized official title is Billing Specialist and has the following contact phone number (678) 513-5736.

The enumeration date for this NPI number is 1/11/2012 and was last updated on 1/11/2012.

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	101YM0800X	Counselor	Mental Health			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

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