FAMILIAL BONDS LLC NPI 1689198731

NPI Information

NPI: 1689198731
Provider Name: FAMILIAL BONDS LLC
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
870 CRESTMARK DR STE 103
LITHIA SPRINGS, GA
ZIP 30122
Phone: (770) 672-0376
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FAMILIAL BONDS LLC is a mental health (including community mental health center) clinic center in Lithia Springs, GA. FAMILIAL BONDS LLC NPI is 1689198731. The provider is registered as an organization entity type.

The provider's business location address is:

870 CRESTMARK DR STE 103
LITHIA SPRINGS, GA
ZIP 30122-665
Phone: (770) 672-0376
Fax: (770) 672-0376

The provider's authorized official is Laquanda Jefferson .
The authorized official title is Psychotherapist and has the following contact phone number (678) 468-0442.

The enumeration date for this NPI number is 7/31/2017 and was last updated on 1/21/2021.

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	251B00000X	Case Management		No
2	252Y00000X	Early Intervention Provider Agency		No
3	261QM0855X	Clinic/Center	Adolescent and Children Mental Health	No
4	261QM1300X	Clinic/Center	Multi-Specialty	No
5	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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