Qillawasi Llc
LBN: Qillawasi Llc
Qillawasi Llc is an health care organization with primary practice located at 2043 Weems Rd. Suite C2043, Tucker GA 30084. The organization recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavioral Analyst, Agencies / Community/Behavioral Health, Ambulatory Health Care Facilities / Hearing and Speech, Ambulatory Health Care Facilities / Occupational Medicine. Behavioral Health & Social Service Providers / Behavioral Analyst is the primary health care specialty.
Qillawasi Llc can be contacted via phone (470) 658-9610, or through Dargent, Andres via phone (470) 658-9610.
Contact Information
Primary practice address
2043 Weems Rd. Suite C2043
Tucker GA 30084
Phone: (470) 658-9610
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X | ||
| Agencies / Community/Behavioral Health | 251S00000X | ||
| Ambulatory Health Care Facilities / Hearing and Speech | 261QH0700X | ||
| Ambulatory Health Care Facilities / Occupational Medicine | 261QX0100X |
Profile Details
| NPI number | 1467108035 |
|---|---|
| LBN Legal business name | Qillawasi Llc |
| DBA Doing business as | |
| Authorized official | Dargent, Andres |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 23rd, 2022 |
| Last updated | Feb 23rd, 2022 - about 4 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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