Asfc Outreach Therapeutic Counseling Services, Llc
LBN: Asfc Outreach Therapeutic Counseling Services, Llc
Asfc Outreach Therapeutic Counseling Services, Llc is an health care organization with primary practice located at 1755 North Brown Road, Suite 200 , Lawrenceville GA 30043. The organization recently has 8 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Agencies / Case Management, Agencies / Community/Behavioral Health, Ambulatory Health Care Facilities / Community Health, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Ambulatory Health Care Facilities / Adult Mental Health, Ambulatory Health Care Facilities / Adolescent and Children Mental Health. Ambulatory Health Care Facilities / Community Health is the primary health care specialty.
Asfc Outreach Therapeutic Counseling Services, Llc can be contacted via phone (770) 787-3788, or through Clark, Angela via phone (770) 787-3788.
Contact Information
Primary practice address
1755 North Brown Road, Suite 200
Lawrenceville GA 30043
Phone: (770) 787-3788
Fax: (770) 786-5159
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | ||
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | ||
| Agencies / Case Management | 251B00000X | ||
| Agencies / Community/Behavioral Health | 251S00000X | ||
| Ambulatory Health Care Facilities / Community Health | 261QC1500X | ||
| Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) | 261QM0801X | ||
| Ambulatory Health Care Facilities / Adult Mental Health | 261QM0850X | ||
| Ambulatory Health Care Facilities / Adolescent and Children Mental Health | 261QM0855X |
Profile Details
| NPI number | 1932611688 |
|---|---|
| LBN Legal business name | Asfc Outreach Therapeutic Counseling Services, Llc |
| DBA Doing business as | |
| Authorized official | Clark, Angela CEO/MBA |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 2nd, 2017 |
| Last updated | Nov 2nd, 2017 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1932611688 | NPPES |
| Georgia | MEDICAID | 942032473A |
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