Destination Greatness-Georgia, Llc

LBN: Destination Greatness-Georgia, Llc
Destination Greatness-Georgia, Llc is an health care organization with primary practice located at 3343 Peachtree Rd Ne Ste 145-1058 , Atlanta GA 30326-1085. The organization recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Counseling, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is the primary health care specialty. Destination Greatness-Georgia, Llc can be contacted via phone (800) 647-3345, or through Jefferson, Shanna Amanda via phone (800) 647-3345.

Contact Information

Primary practice address
3343 Peachtree Rd Ne Ste 145-1058 Atlanta GA 30326-1085
Phone: (800) 647-3345
Fax: (866) 923-0754
Website:
Map and Directions
Authorized official contact:
Name: Jefferson, Shanna Amanda
Phone: (800) 647-3345

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Counseling 103TC1900X
Behavioral Health & Social Service Providers / Clinical 1041C0700X

Profile Details

NPI number 1225582562
LBN Legal business name Destination Greatness-Georgia, Llc
DBA Doing business as
Authorized official Jefferson, Shanna Amanda
Entity Organization
Organization subpart 1 No
Enumeration date Aug 3rd, 2016
Last updated Feb 10th, 2021 - about 5 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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