Healthcare Provider Details

I. General information

NPI: 1023559648
Provider Name (Legal Business Name): WORKING CONCEPTS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/15/2017
Last Update Date: 01/30/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

432 CRAWFORD ST NE
DAWSON GA
39842-1279
US

IV. Provider business mailing address

PO BOX 2226
MCDONOUGH GA
30253-1732
US

V. Phone/Fax

Practice location:
  • Phone: 470-222-6232
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License NumberRN057486
License Number StateMO
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License NumberRN057486
License Number StateMO

VIII. Authorized Official

Name: MRS. STEPHANIE HARRIS
Title or Position: CEO
Credential:
Phone: 470-747-8884