The Delta Influence LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

THE DELTA INFLUENCE LLC

Practice address

397 Heritage Park Trce NW
Kennesaw, GA 30144-4832

Phone

(888) 945-5557

Fax

(404) 963-0808

NPI assigned

Apr 10, 2012

Last updated

Apr 10, 2012By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Andre G Hills

Title

Life Coach/Ceo

Phone

(888) 945-5557

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1334016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334016000000",
    "number": "1821354374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "397 HERITAGE PARK TRCE NW",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301444832",
            "telephone_number": "888-945-5557",
            "fax_number": "404-963-0808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "397 HERITAGE PARK TRCE NW",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301444832",
            "telephone_number": "888-945-5557",
            "fax_number": "404-963-0808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE DELTA INFLUENCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-10",
        "last_updated": "2012-04-10",
        "status": "A",
        "authorized_official_last_name": "HILLS",
        "authorized_official_first_name": "ANDRE",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "LIFE COACH/CEO",
        "authorized_official_telephone_number": "888-945-5557"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.