Psych Practice Llc

LBN: Psych Practice Llc
Psych Practice Llc is an health care organization with primary practice located at 410 Shirley Ave , Douglas GA 31533-2002. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Psych Practice Llc can be contacted via phone (912) 260-1206, or through Khan, Mubbashir M via phone (912) 260-1206.

Contact Information

Primary practice address
410 Shirley Ave Douglas GA 31533-2002
Phone: (912) 260-1206
Fax: (912) 383-7820
Website:
Map and Directions
Authorized official contact:
Name: Khan, Mubbashir M Doctor of Medicine (MD)
Phone: (912) 260-1206

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X 054327 Georgia

Profile Details

NPI number 1689060790
LBN Legal business name Psych Practice Llc
DBA Doing business as
Authorized official Khan, Mubbashir M Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 15th, 2015
Last updated Apr 15th, 2015 - about 11 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 1689060790 NPPES
Georgia MEDICAID 003120037D

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