IMMERSIVE PROPERTIES LLC NPI 1033699301

NPI Information

  • NPI: 1033699301
  • Provider Name: IMMERSIVE PROPERTIES, LLC
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Organization
  • Doing Business As: EVOLVE THERAPY AND CONSULTING
  • Address: 1400 BUFORD HWY STE R-8
    BUFORD, GA
    ZIP 30518
  • Phone: (404) 507-6202

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NPI Details

IMMERSIVE PROPERTIES, LLC is a professional counselor in Buford, GA. IMMERSIVE PROPERTIES, LLC NPI is 1033699301. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Evolve Therapy And Consulting.

The provider's business location address is:

1400 BUFORD HWY STE R-8
BUFORD, GA
ZIP 30518-721
Phone: (404) 507-6202

The provider's authorized official is Sarah Miles Brown .
The authorized official title is Licensed Professional Counselor and has the following contact phone number (404) 507-6202.

The enumeration date for this NPI number is 8/16/2018 and was last updated on 8/16/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YP2500XCounselorProfessionalLPC007974GEORGIAYes

What is NPI?

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This page was last updated on: 3/30/2025

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