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K12 CLINICS NPI 1992910749


NPI Information

NPI: 1992910749
Provider Name: K12 CLINICS

Doing Business As: PSYCHIATRY NETWORK

Classification: Clinic/Center - 261QM0855X
Entity Type: Organization

Specialization: Adolescent and Children Mental Health

Address:
938 ELMA G. MILES PARKWAY
HINESVILLE, GA
ZIP 31313
Phone: (912) 877-7924
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K12 CLINICS is an adolescent and children mental health clinic center in Hinesville, GA. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. K12 CLINICS NPI is 1992910749. The provider is registered as an organization entity type.
The provider Is Doing Business As Psychiatry Network.

The provider's business location address is:

938 ELMA G. MILES PARKWAY
HINESVILLE, GA
ZIP 31313
Phone: (912) 877-7924
Fax: (912) 877-5437

The provider's authorized official is Aderemi S. Dosunmu .
The authorized official title is Medical Director and has the following contact phone number (912) 877-7924.

The enumeration date for this NPI number is 5/14/2007 and was last updated on 7/9/2009.


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
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)047893GEORGIANo
2261QM0850XClinic/CenterAdult Mental Health047893GEORGIANo
3261QM0855XClinic/CenterAdolescent and Children Mental Health047893GEORGIAYes

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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