Provider Demographics
NPI: | 1326145459 |
---|---|
Name: | H.M. SOCIAL SERVICES INC. |
Entity type: | Organization |
Organization Name: | H.M. SOCIAL SERVICES INC. |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | DIRECTOR |
Authorized Official - Prefix: | |
Authorized Official - First Name: | FELECIA |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | BOWERS |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 770-486-7275 |
Mailing Address - Street 1: | 311 TERRANE RDG |
Mailing Address - Street 2: | |
Mailing Address - City: | PEACHTREE CITY |
Mailing Address - State: | GA |
Mailing Address - Zip Code: | 30269-4019 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 770-486-7275 |
Mailing Address - Fax: | |
Practice Address - Street 1: | 1129 SAINT FERDINAND ST |
Practice Address - Street 2: | |
Practice Address - City: | NEW ORLEANS |
Practice Address - State: | LA |
Practice Address - Zip Code: | 70117-7232 |
Practice Address - Country: | US |
Practice Address - Phone: | 770-486-7275 |
Practice Address - Fax: | |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2006-09-20 |
Last Update Date: | 2008-04-25 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
GA | MSW002230 | 104100000X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 104100000X | Behavioral Health & Social Service Providers | Social Worker | Group - Multi-Specialty |