Purpose Community Therapeutic Services, Llc

LBN: Chantay Golson
Purpose Community Therapeutic Services, Llc is an health care organization with primary practice located at 1031 Railroad St Nw Suite B, Conyers GA 30012-5108. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as the primary health care specialty. Chantay Golson can be contacted via phone (770) 280-7288, or through Golson, Chantay via phone (770) 280-7288.

Contact Information

Primary practice address
1031 Railroad St Nw Suite B Conyers GA 30012-5108
Phone: (770) 280-7288
Fax: (770) 983-6098
Website:
Map and Directions
Authorized official contact:
Name: Golson, Chantay Licensed Professional Counselor (LPC)
Phone: (770) 280-7288

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X

Profile Details

NPI number 1700125754
LBN Legal business name Chantay Golson
DBA Doing business as Purpose Community Therapeutic Services, Llc
Authorized official Golson, Chantay Licensed Professional Counselor (LPC)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 12th, 2013
Last updated Jul 9th, 2013 - about 13 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 1700125754 NPPES
Georgia MEDICAID 003126621A

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