Behavioral Health Services, Rehab, Healthcare Provider, Counseling

LBN: Antioch Christian Center, Inc
Behavioral Health Services, Rehab, Healthcare Provider, Counseling is an health care organization with primary practice located at 2879 Heritage Oaks Cir , Dacula GA 30019-7082. The organization recently has 14 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Pastoral, Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Marriage & Family Therapist, Other Service Providers / Case Manager/Care Coordinator, Other Service Providers / Contractor, Other Service Providers / Driver, Other Service Providers / Community Health Worker, Other Service Providers / Health Educator. Behavioral Health & Social Service Providers / Clinical is the primary health care specialty. Antioch Christian Center, Inc can be contacted via phone (313) 805-5386, or through Richardson, Pamela via phone (313) 805-5386.

Contact Information

Primary practice address
2879 Heritage Oaks Cir Dacula GA 30019-7082
Phone: (313) 805-5386
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Richardson, Pamela
Phone: (313) 805-5386

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Pastoral 101YP1600X
Behavioral Health & Social Service Providers / Professional 101YP2500X
Behavioral Health & Social Service Providers / Psychologist 103T00000X
Behavioral Health & Social Service Providers / Social Worker 104100000X
Behavioral Health & Social Service Providers / Clinical 1041C0700X
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Other Service Providers / Contractor 171W00000X
Other Service Providers / Driver 172A00000X
Other Service Providers / Community Health Worker 172V00000X
Other Service Providers / Health Educator 174H00000X

Profile Details

NPI number 1730862954
LBN Legal business name Antioch Christian Center, Inc
DBA Doing business as Behavioral Health Services, Rehab, Healthcare Provider, Counseling
Authorized official Richardson, Pamela
Entity Organization
Organization subpart 1 No
Enumeration date Aug 14th, 2023
Last updated Aug 14th, 2023 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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