Alpha Omega Holistic Care & Counseling, LLC.
Organization Active NPI Clinical Social Worker · Stockbridge, GA
NPI 1194100438 · NPPES record last updated Jul 28, 2015
Key facts
- NPI
- 1194100438
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- CSW005202 (GA)
- Legal business name
- ALPHA OMEGA HOLISTIC CARE & COUNSELING, LLC.
- Practice address
- 160 Memory LN
Stockbridge, GA 30281-6263 - Phone
- (678) 561-2171
- Fax
- (678) 619-4399
- NPI assigned
- Jul 28, 2015
- Organization subpart
- No
Authorized official
- Name
- Christi Hardeman, LCSW
- Title
- Owner
- Phone
- (678) 561-2171
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker |
1041C0700X | CSW005202 | GA | Yes |
Addresses
Primary practice location
160 Memory LN
Stockbridge, GA 30281-6263
Mailing address
160 Memory LN
Stockbridge, GA 30281-6263
Phone (678) 561-2171
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003158457A | Medicaid | GA |
Other providers in Stockbridge, GA
- Montrese Pitmon Alleyne
- David William Allison
- Colette Alls
- Allspine Anesthesia, LLC
- Alpha Medical Wellness and Walk in Clinic LLC
- Adriel Alston
- Amara Pediatric Therapy, LLC
- Renee Bernadette Ambush
- AMC/North Fulton Urgent Care #5 LLC
- Amedisys Georgia LLC
All providers in Stockbridge, GA · Clinical Social Worker in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 28, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.