Healthcare Provider Details

I. General information

NPI: 1730633876
Provider Name (Legal Business Name): RTS SERVICES UNLIMITED II, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/05/2016
Last Update Date: 07/05/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1619 SIXTH ST UNIT 3
ST THOMAS VI
00802-2635
US

IV. Provider business mailing address

3823 ROSWELL RD STE 102
MARIETTA GA
30062-6294
US

V. Phone/Fax

Practice location:
  • Phone: 340-513-1234
  • Fax: 404-521-4527
Mailing address:
  • Phone: 678-604-7458
  • Fax: 404-521-4527

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: DR. MELINDA D RICHARDS
Title or Position: CEO
Credential: ED.D.
Phone: 404-583-4940