Reconnect Therapeutic Associates Llc.
LBN: Reconnect Therapeutic Associates Llc.
Reconnect Therapeutic Associates Llc. is an health care organization with primary practice located at 1264 Concord Rd Se Se Suite 106, Smyrna GA 30080-5302. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as the primary health care specialty.
Reconnect Therapeutic Associates Llc. can be contacted via phone (678) 424-8650, or through Richardson, Angela Ronay via phone (678) 424-8650.
Contact Information
Primary practice address
1264 Concord Rd Se Se Suite 106
Smyrna GA 30080-5302
Phone: (678) 424-8650
Fax: (678) 424-8653
Website:
Authorized official contact:
Name: Richardson, Angela Ronay Licensed Professional Counselor (LPC)
Phone: (678) 424-8650
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | LPC007466 | Georgia |
Profile Details
| NPI number | 1760933287 |
|---|---|
| LBN Legal business name | Reconnect Therapeutic Associates Llc. |
| DBA Doing business as | |
| Authorized official | Richardson, Angela Ronay Licensed Professional Counselor (LPC) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 19th, 2016 |
| Last updated | Oct 19th, 2016 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1760933287 | NPPES |
| Georgia | MEDICAID | 003153870A |
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