Healthcare Provider Details

I. General information

NPI: 1487965281
Provider Name (Legal Business Name): HIGHER1SOLUTIONS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/25/2010
Last Update Date: 06/25/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1418 10TH AVE
COLUMBUS GA
31901-2244
US

IV. Provider business mailing address

5123 KINGSBERRY LN
COLUMBUS GA
31907-4381
US

V. Phone/Fax

Practice location:
  • Phone: 706-593-0051
  • Fax:
Mailing address:
  • Phone: 706-593-0051
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: LADOLGY S GILL
Title or Position: OWNER
Credential:
Phone: 706-593-0051