EMERGE HEALING CENTER LLC NPI 1659026565

NPI Information

NPI: 1659026565
Provider Name: EMERGE HEALING CENTER LLC
Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

CLIA Number: 11D2254134

Address:
6110 MCFARLAND STATION DR STE 1104
ALPHARETTA, GA
ZIP 30004
Phone: (770) 203-3998
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EMERGE HEALING CENTER LLC is a rehabilitation and substance use disorder clinic center in Alpharetta, GA. EMERGE HEALING CENTER LLC NPI is 1659026565. The provider is registered as an organization entity type.

The provider's business location address is:

6110 MCFARLAND STATION DR STE 1104
ALPHARETTA, GA
ZIP 30004-801
Phone: (770) 203-3998

The provider's authorized official is Joseph Difabio .
The authorized official title is Cmo and has the following contact phone number (770) 203-3998.

The CLIA number assigned to this NPI record is 11D2254134 - independent with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/18/2022 and was last updated on 2/18/2022.

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	Primary
1	324500000X	Substance Abuse Rehabilitation Facility		No
2	261QH0100X	Clinic/Center	Health Service	No
3	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder	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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