Urban Temple Studio 107

LBN: Urban Temple Studio 107
Urban Temple Studio 107 is an health care organization with primary practice located at 1867 Lawrenceville Hwy , Decatur GA 30033-5729. The organization recently has only one registered license in Agencies / Case Management, which is considered as the primary health care specialty. Urban Temple Studio 107 can be contacted via phone (404) 600-5624, or through Gordon, Qiana L via phone (404) 600-5624.

Contact Information

Primary practice address
1867 Lawrenceville Hwy Decatur GA 30033-5729
Phone: (404) 600-5624
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Gordon, Qiana L LMT
Phone: (404) 600-5624

Health care specialties

SpecialtyCodeLicense #State
Agencies / Case Management 251B00000X 007007 Georgia

Profile Details

NPI number 1760823256
LBN Legal business name Urban Temple Studio 107
DBA Doing business as
Authorized official Gordon, Qiana L LMT
Entity Organization
Organization subpart 1 No
Enumeration date Jul 11th, 2013
Last updated Jul 11th, 2013 - about 13 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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