Tara Pettit Deloach Llc

LBN: Tara Pettit Deloach Llc
Tara Pettit Deloach Llc is an health care organization with primary practice located at 930 Stevens Creek Rd , Augusta GA 30907-3200. The organization recently has only one registered license in Ambulatory Health Care Facilities / Adult Mental Health, which is considered as the primary health care specialty. Tara Pettit Deloach Llc can be contacted via phone (706) 343-3661, or through Deloach, Tara Pettit via phone (706) 343-3661.

Contact Information

Primary practice address
930 Stevens Creek Rd Augusta GA 30907-3200
Phone: (706) 343-3661
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Deloach, Tara Pettit LMFT
Phone: (706) 343-3661

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X

Profile Details

NPI number 1124897145
LBN Legal business name Tara Pettit Deloach Llc
DBA Doing business as
Authorized official Deloach, Tara Pettit LMFT
Entity Organization
Organization subpart 1 No
Enumeration date Jan 2nd, 2024
Last updated Jan 2nd, 2024 - about last year

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.

Request for update

Popular Providers