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EPIPHANY HEALTHCARE SYSTEMS INC NPI 1578013751


NPI Information

NPI: 1578013751
Provider Name: EPIPHANY HEALTHCARE SYSTEMS, INC

Doing Business As: ACCESSIBLE HEALTHCARE OF SOUTH ATLANTA

Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
4405 MALL BLVD
SUITE 315
UNION CITY, GA
ZIP 30291
Phone: (770) 306-3416
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EPIPHANY HEALTHCARE SYSTEMS, INC is a mental health counselor in Union City, GA. EPIPHANY HEALTHCARE SYSTEMS, INC NPI is 1578013751. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Accessible Healthcare Of South Atlanta.

The provider's business location address is:

4405 MALL BLVD
SUITE 315
UNION CITY, GA
ZIP 30291-044
Phone: (770) 306-3416
Fax: (770) 306-3417

The provider's authorized official is Dickson Osanu .
The authorized official title is Ceo and has the following contact phone number (770) 306-3415.

The enumeration date for this NPI number is 10/11/2016 and was last updated on 1/18/2017.


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
1101YA0400XCounselorAddiction (Substance Use Disorder)No
2101YM0800XCounselorMental HealthYes
3103K00000XBehavior AnalystNo
4103TB0200XPsychologistCognitive & BehavioralNo
5103TP0016XPsychologistPrescribing (Medical)No
6104100000XSocial WorkerNo
7163W00000XRegistered NurseNo
8225100000XPhysical TherapistNo

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.