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THE MARGIE REE HANSFORD THURMOND FAMILY LIFE CENTER NPI 1376019141


NPI Information

NPI: 1376019141
Provider Name: THE MARGIE REE HANSFORD THURMOND FAMILY LIFE CENTER
Classification: Counselor - 101YP1600X
Entity Type: Organization

Specialization: Pastoral

Address:
710 KING RD
RIVERDALE, GA
ZIP 30274
Phone: (770) 468-7100
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THE MARGIE REE HANSFORD THURMOND FAMILY LIFE CENTER is a pastoral counselor in Riverdale, GA. THE MARGIE REE HANSFORD THURMOND FAMILY LIFE CENTER NPI is 1376019141. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

710 KING RD
RIVERDALE, GA
ZIP 30274-027
Phone: (770) 468-7100

The provider's authorized official is Myrna Thurmond Malone .
The authorized official title is Clinical Director and has the following contact phone number (770) 468-7100.

The enumeration date for this NPI number is 10/19/2018 and was last updated on 10/19/2018.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103TP2701XPsychologistGroup PsychotherapyNo
2106H00000XMarriage & Family TherapistNo
3251S00000XCommunity/Behavioral HealthNo
4261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)No
5101YA0400XCounselorAddiction (Substance Use Disorder)No
6101YP1600XCounselorPastoralYes

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

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