Footprints Behavioral Services, Llc.

LBN: Footprints Behavioral Services, Llc.
Footprints Behavioral Services, Llc. is an health care organization with primary practice located at 111 W Pine St , Vidalia GA 30474-3114. The organization recently has 3 registered licenses in different health care specialties including Agencies / Case Management, Agencies / Community/Behavioral Health, Agencies / Voluntary or Charitable. Agencies / Community/Behavioral Health is the primary health care specialty. Footprints Behavioral Services, Llc. can be contacted via phone (912) 537-0140, or through Blount, Ericka via phone (678) 490-1290.

Contact Information

Primary practice address
111 W Pine St Vidalia GA 30474-3114
Phone: (912) 537-0140
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Blount, Ericka
Phone: (678) 490-1290

Health care specialties

SpecialtyCodeLicense #State
Agencies / Case Management 251B00000X
Agencies / Community/Behavioral Health 251S00000X Georgia
Agencies / Voluntary or Charitable 251V00000X

Profile Details

NPI number 1083911267
LBN Legal business name Footprints Behavioral Services, Llc.
DBA Doing business as
Authorized official Blount, Ericka
Entity Organization
Organization subpart 1 No
Enumeration date Feb 23rd, 2011
Last updated Feb 23rd, 2011 - about 15 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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