Full Blossom Behavioral Health Consultants, Llc

LBN: Full Blossom Behavioral Health Consultants, Llc
Full Blossom Behavioral Health Consultants, Llc is an health care organization with primary practice located at 125 Townpark Dr Nw 300, Kennesaw GA 30144-5803. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty. Full Blossom Behavioral Health Consultants, Llc can be contacted via phone (888) 310-8388, or through Brigman, Juanita Elizabeth via phone (888) 310-8388.

Contact Information

Primary practice address
125 Townpark Dr Nw 300 Kennesaw GA 30144-5803
Fax: (888) 310-8388
Website:
Authorized official contact:
Name: Brigman, Juanita Elizabeth ED.D., LCSW

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X CSW004925 Georgia

Profile Details

NPI number 1598117848
LBN Legal business name Full Blossom Behavioral Health Consultants, Llc
DBA Doing business as
Authorized official Brigman, Juanita Elizabeth ED.D., LCSW
Entity Organization
Organization subpart 1 No
Enumeration date Jul 11th, 2016
Last updated Jul 11th, 2016 - about 10 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 1598117848 NPPES
Georgia Other 1780009217 NPPES

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