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Contact Information

POPULATIONS AND INTERVENTIONS TEAM COMPANY
3182 BERTHAS OVERLOOK
DOUGLASVILLE, GA30135-8458
 Phone: 678-310-9707
 Fax: 470-875-0083
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Health

103TH0004X 62 Psychologist, Clinical
 

Prevention Professional

405300000X
Indicates primary specialty

NPI Profile & details for POPULATIONS AND INTERVENTIONS TEAM COMPANY

NPI # 1730608522
LBN Legal business name POPULATIONS AND INTERVENTIONS TEAM COMPANY
Authorized official MERCEDES WILLIAMS - (CEO/OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 09/13/2017
Last updated 07/21/2022 - About 4 years ago
Identifiers
CA License # 40044
IN License # 28315
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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