Roots Seeds And Branches

LBN: Roots Seeds And Branches
Roots Seeds And Branches is an health care organization with primary practice located at 209A Swanton Way Ste 202 , Decatur GA 30030-3271. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty. Roots Seeds And Branches can be contacted via phone (404) 698-5553, or through Jessup Peterson, Julius via phone (404) 698-5553.

Contact Information

Primary practice address
209A Swanton Way Ste 202 Decatur GA 30030-3271
Phone: (404) 698-5553
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Jessup Peterson, Julius Licensed Clinical Social Worker (LCSW)
Phone: (404) 698-5553

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X CSW005018 Georgia

Profile Details

NPI number 1508353210
LBN Legal business name Roots Seeds And Branches
DBA Doing business as
Authorized official Jessup Peterson, Julius Licensed Clinical Social Worker (LCSW)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 18th, 2018
Last updated Apr 18th, 2018 - about 8 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 1508353210 NPPES
Georgia MEDICAID 003181948C

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