Provider Demographics
NPI:1972298982
Name:REMAIN CONNECTED LLC
Entity type:Organization
Organization Name:REMAIN CONNECTED LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MAYRA
Authorized Official - Middle Name:
Authorized Official - Last Name:RICHARDS
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:770-330-0634
Mailing Address - Street 1:2764 HAMBY ST SE
Mailing Address - Street 2:
Mailing Address - City:SMYRNA
Mailing Address - State:GA
Mailing Address - Zip Code:30080-3412
Mailing Address - Country:US
Mailing Address - Phone:770-330-0634
Mailing Address - Fax:
Practice Address - Street 1:2480 WINDY HILL RD SE STE 201
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30067-8656
Practice Address - Country:US
Practice Address - Phone:678-892-7713
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-06
Last Update Date:2023-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty