Heal Thyself Llc

LBN: Heal Thyself Llc
Heal Thyself Llc is an health care organization with primary practice located at 3698 Inner Perimeter Rd Ste 3603 , Valdosta GA 31602-1047. The organization recently has only one registered license in Ambulatory Health Care Facilities / Medical Specialty, which is considered as the primary health care specialty. Heal Thyself Llc can be contacted via phone (229) 539-3710, or through Echols, Sherrell via phone (229) 539-3710.

Contact Information

Primary practice address
3698 Inner Perimeter Rd Ste 3603 Valdosta GA 31602-1047
Phone: (229) 539-3710
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Echols, Sherrell
Phone: (229) 539-3710

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Medical Specialty 261QM2500X

Profile Details

NPI number 1770178162
LBN Legal business name Heal Thyself Llc
DBA Doing business as
Authorized official Echols, Sherrell
Entity Organization
Organization subpart 1 No
Enumeration date Mar 8th, 2021
Last updated Mar 8th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1770178162 NPPES
Georgia MEDICAID 11-790-2611

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