<Unavail>
LBN: Ivy Collaborative Healthcare Llc
<Unavail> is an health care organization with primary practice located at 2100 Central Avenue Stes 6 & 7, Augusta GA 30904-6717. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is the primary health care specialty.
Ivy Collaborative Healthcare Llc can be contacted via phone (706) 364-3461, or through Bayliss, Jocelyn Kelly via phone (706) 364-3461.
Contact Information
Primary practice address
2100 Central Avenue Stes 6 & 7
Augusta GA 30904-6717
Phone: (706) 364-3461
Fax: (706) 364-3481
Website:
Authorized official contact:
Name: Bayliss, Jocelyn Kelly Doctor of Medicine (MD)
Phone: (706) 364-3461
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | ||
| Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry | 2084P0804X |
Profile Details
| NPI number | 1043845373 |
|---|---|
| LBN Legal business name | Ivy Collaborative Healthcare Llc |
| DBA Doing business as | <Unavail> |
| Authorized official | Bayliss, Jocelyn Kelly Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 6th, 2020 |
| Last updated | May 7th, 2024 - about 2 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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