Healthcare Provider Details

I. General information

NPI: 1104535855
Provider Name (Legal Business Name): SOCIALRX INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/22/2022
Last Update Date: 06/02/2023
Certification Date: 06/02/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

977 MANIGAULT ST SE
ATLANTA GA
30316-1311
US

IV. Provider business mailing address

977 MANIGAULT ST SE
ATLANTA GA
30316-1311
US

V. Phone/Fax

Practice location:
  • Phone: 404-376-3280
  • Fax:
Mailing address:
  • Phone: 404-376-3280
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: CHRIS APPLETON
Title or Position: CHIEF EXECUTIVE OFFICER
Credential:
Phone: 404-376-3280