Behavioral Intervention Group Llc | |
920 Dannon Vw Sw Suite 3204 Atlanta GA 30331-2157 | |
(404) 914-2788 | |
(404) 952-1909 |
Full Name | Behavioral Intervention Group Llc |
---|---|
Speciality | Counselor - Professional |
Location | 920 Dannon Vw Sw, Atlanta, Georgia |
Authorized Official Name and Position | Kimberly R Hill (OWNER) |
Authorized Official Contact | 4049142788 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Behavioral Intervention Group Llc Po Box 78292 Atlanta GA 30357-2292 Ph: (404) 914-2788 | Behavioral Intervention Group Llc 920 Dannon Vw Sw Suite 3204 Atlanta GA 30331-2157 Ph: (404) 914-2788 |
NPI Number | 1427367036 |
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Provider Enumeration Date | 09/30/2010 |
Last Update Date | 09/30/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1427367036 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | LPC005316 (Georgia) | Primary |
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