HER VILLAGE FOUNADATION LLC NPI 1285287086

NPI Information

NPI: 1285287086
Provider Name: HER VILLAGE FOUNADATION LLC
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
8341 GRADY ST
DOUGLASVILLE, GA
ZIP 30134
Phone: (718) 570-3446
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HER VILLAGE FOUNADATION LLC is a mental health (including community mental health center) clinic center in Douglasville, GA. HER VILLAGE FOUNADATION LLC NPI is 1285287086. The provider is registered as an organization entity type.

The provider's business location address is:

8341 GRADY ST
DOUGLASVILLE, GA
ZIP 30134-910
Phone: (718) 570-3446

The provider's authorized official is Shane Janelle Gill .
The authorized official title is Owner and has the following contact phone number (718) 570-3446.

The enumeration date for this NPI number is 7/20/2019 and was last updated on 7/20/2019.

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
1	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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