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Contact Information

THE FAMILY CENTER OF GEORGIA, INC.
2520 HOLLINGSWORTH ST
LITHONIA, GA30058-4424
 Phone: 770-484-8834
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
 

Addiction (Substance Use Disorder)

101YA0400X
 

Family

103TF0000X 62 Psychologist, Clinical
 

Group Psychotherapy

103TP2701X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for THE FAMILY CENTER OF GEORGIA, INC.

NPI # 1669605127
LBN Legal business name THE FAMILY CENTER OF GEORGIA, INC.
Authorized official HALISI STATEN - (LICENSED PSYCHOLOGIST)
Entity Organization
Organization subpart 1 No
Enumeration date 09/01/2009
Last updated 09/01/2009 - About 17 years ago
Identifiers
GA License # C0067
GA License # PSY002858
GA Medicaid 86355324D
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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