Primary Medical Healthcare Practice

LBN: Pro- Holism Professional Corporation
Primary Medical Healthcare Practice is an health care organization with primary practice located at 2480 Windy Hill Rd Se Suite 206, Marietta GA 30067-8644. The organization recently has 8 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Health Service, Allopathic & Osteopathic Physicians / Sports Medicine, Agencies / Home Health, Agencies / Nursing Care, Agencies / Community/Behavioral Health, Ambulatory Health Care Facilities / Clinic/Center, Managed Care Organizations / Health Maintenance Organization, Managed Care Organizations / Preferred Provider Organization. Agencies / Home Health is the primary health care specialty. Pro- Holism Professional Corporation can be contacted via phone (770) 953-0074, or through Coston, Reda via phone (404) 800-5550.

Contact Information

Primary practice address
2480 Windy Hill Rd Se Suite 206 Marietta GA 30067-8644
Phone: (770) 953-0074
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Coston, Reda LMP, D.SC., PSYD/PHD
Phone: (404) 800-5550

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Health Service 103TH0100X Georgia
Allopathic & Osteopathic Physicians / Sports Medicine 2081S0010X Florida
Agencies / Home Health 251E00000X Georgia
Agencies / Nursing Care 251J00000X
Agencies / Community/Behavioral Health 251S00000X Georgia
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X Georgia
Managed Care Organizations / Health Maintenance Organization 302R00000X
Managed Care Organizations / Preferred Provider Organization 305R00000X Georgia

Profile Details

NPI number 1124353339
LBN Legal business name Pro- Holism Professional Corporation
DBA Doing business as Primary Medical Healthcare Practice
Authorized official Coston, Reda LMP, D.SC., PSYD/PHD
Entity Organization
Organization subpart 1 Yes
Enumeration date Oct 6th, 2009
Last updated Jul 16th, 2020 - about 6 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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