The Peach Pit
LBN: The Peach Pit
The Peach Pit is an health care organization with primary practice located at 1809 River Rd , Fort Valley GA 31030-7029. The organization recently has 6 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical, Other Service Providers / Case Manager/Care Coordinator, Other Service Providers / Specialist, Agencies / Voluntary or Charitable. Behavioral Health & Social Service Providers / Clinical is the primary health care specialty.
The Peach Pit can be contacted via phone (478) 827-3224, or through Coley, Gwendolyn via phone (478) 827-3224.
Contact Information
Primary practice address
1809 River Rd
Fort Valley GA 31030-7029
Phone: (478) 827-3224
Fax:
Website:
Authorized official contact:
Name: Coley, Gwendolyn Licensed Clinical Social Worker (LCSW)
Phone: (478) 827-3224
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | ||
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | ||
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | ||
| Other Service Providers / Case Manager/Care Coordinator | 171M00000X | ||
| Other Service Providers / Specialist | 174400000X | ||
| Agencies / Voluntary or Charitable | 251V00000X |
Profile Details
| NPI number | 1023511789 |
|---|---|
| LBN Legal business name | The Peach Pit |
| DBA Doing business as | |
| Authorized official | Coley, Gwendolyn Licensed Clinical Social Worker (LCSW) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 8th, 2018 |
| Last updated | Mar 29th, 2021 - about 5 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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