Genesis Alliance For Mental Wellness, Llc

LBN: Genesis Alliance For Mental Wellness, Llc
Genesis Alliance For Mental Wellness, Llc is an health care organization with primary practice located at 4759 Rockbridge Rd Ste E, Stone Mountain GA 30083-4295. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Genesis Alliance For Mental Wellness, Llc can be contacted via phone (404) 501-0003, or through Abbott, Temeka via phone (404) 501-0003.

Contact Information

Primary practice address
4759 Rockbridge Rd Ste E Stone Mountain GA 30083-4295
Phone: (404) 501-0003
Fax: (404) 501-0033
Website:
Map and Directions
Authorized official contact:
Name: Abbott, Temeka
Phone: (404) 501-0003

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1891816906
LBN Legal business name Genesis Alliance For Mental Wellness, Llc
DBA Doing business as
Authorized official Abbott, Temeka
Entity Organization
Organization subpart 1 No
Enumeration date Apr 3rd, 2007
Last updated Dec 8th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1891816906 NPPES
Georgia MEDICAID 042312259A

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