Aspire365 Georgia LLC
Clinic/Center, Adult Mental Health in Atlanta, GA. Organization (NPI-2).
NPI number1942020003
StatusActive
Last updated in NPPESOct 28, 2024
Details
- NPI
- 1942020003
- Entity type
- Organization (NPI-2)
- Legal business name
- Aspire365 Georgia LLC
- Organization subpart
- No
- Enumeration date
- Oct 14, 2024
- Certification date
- Oct 28, 2024
- Last updated
- Oct 28, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0850X | Clinic/Center, Adult Mental Health | – | – | Yes |
| 101YM0800X | Counselor, Mental Health | – | – | |
| 2083A0300X | Preventive Medicine, Addiction Medicine | – | – | |
| 2084A0401X | Psychiatry & Neurology, Addiction Medicine | – | – | |
| 2084P0800X | Psychiatry & Neurology, Psychiatry | – | – | |
| 261QM0855X | Clinic/Center, Adolescent and Children Mental Health | – | – |
Practice location
3379 Peachtree Rd Ne Ste 655Atlanta, GA 30326-1535
Phone 385-352-9696
Mailing address
9350 S 150 E Ste 320Sandy, UT 84070-2707
Phone 385-352-9696
Authorized official
Zachary Jenson
Ceo
3853529746
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