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General NPI Number Information
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NPI Number | 1770070880
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Entity Type | Organization
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Legal Business Name | SUITABLE FOR THE PEOPLE HEALTH SERVICE, LLC
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Dates
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Enumeration Date | 04/16/2018
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Last Update Date | 01/21/2025
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Provider Practice Location Address
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Address Line | 105 WHITEHEAD RD STE 7
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City | ATHENS
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State | GA
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Zip | 30606-1551
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Country | US
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Telephone | 404-821-6161
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Fax |
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Provider Business Mailing Address
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Address Line | 975 GAINES SCHOOL RD RM D
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City | ATHENS
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State | GA
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Zip | 30605-3133
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Country | US
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Telephone | 706-850-8109
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | TONYA L CARTER
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Credential |
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Telephone | 706-850-6109
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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