Mobile Care Physicians Group Pc

LBN: Mobile Care Physicians Group Pc
Mobile Care Physicians Group Pc is an health care organization with primary practice located at 755 N Brown Rd Ste 200, Lawrenceville GA 30043. The organization recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is the primary health care specialty. Mobile Care Physicians Group Pc can be contacted via phone (206) 738-4179, or through Popov, Leonid via phone (510) 417-5142.

Contact Information

Primary practice address
755 N Brown Rd Ste 200 Lawrenceville GA 30043
Phone: (206) 738-4179
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Popov, Leonid
Phone: (510) 417-5142

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Professional 101YP2500X
Behavioral Health & Social Service Providers / Clinical 1041C0700X

Profile Details

NPI number 1457010126
LBN Legal business name Mobile Care Physicians Group Pc
DBA Doing business as
Authorized official Popov, Leonid
Entity Organization
Organization subpart 1 No
Enumeration date Dec 10th, 2021
Last updated Dec 28th, 2023 - about 3 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1457010126 NPPES
Washington MEDICAID 2240771

Popular Providers