Heavenly Therapeutic Services Llc

LBN: Heavenly Therapeutic Services Llc
Heavenly Therapeutic Services Llc is an health care organization with primary practice located at 110 Habersham Dr Ste 116, Fayetteville GA 30214-1381. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as the primary health care specialty. Heavenly Therapeutic Services Llc can be contacted via phone (770) 946-2312, or through Blocker, Fredric Darnell via phone (770) 946-2312.

Contact Information

Primary practice address
110 Habersham Dr Ste 116 Fayetteville GA 30214-1381
Phone: (770) 946-2312
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Blocker, Fredric Darnell
Phone: (770) 946-2312

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X

Profile Details

NPI number 1184025587
LBN Legal business name Heavenly Therapeutic Services Llc
DBA Doing business as
Authorized official Blocker, Fredric Darnell
Entity Organization
Organization subpart 1 No
Enumeration date Sep 4th, 2014
Last updated Sep 4th, 2014 - about 12 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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