Bagley Youth Development

LBN: Bagley Youth Development
Bagley Youth Development is an health care organization with primary practice located at 2245 Godby Rd Suite 206, College Park GA 30349-5059. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Bagley Youth Development can be contacted via phone (404) 968-4662, or through Bagley, Georgiana via phone (404) 968-4662.

Contact Information

Primary practice address
2245 Godby Rd Suite 206 College Park GA 30349-5059
Phone: (404) 968-4662
Fax: (404) 968-4562
Website:
Map and Directions
Authorized official contact:
Name: Bagley, Georgiana M.S., LPC
Phone: (404) 968-4662

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X LPC001132 Georgia

Profile Details

NPI number 1811034317
LBN Legal business name Bagley Youth Development
DBA Doing business as
Authorized official Bagley, Georgiana M.S., LPC
Entity Organization
Organization subpart 1 No
Enumeration date Jan 31st, 2007
Last updated May 19th, 2009 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1811034317 NPPES
Georgia MEDICAID 503205308A

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