Provider Demographics
NPI:1972803021
Name:GARRETT CONSULTING & CASE MGMT SVC
Entity type:Organization
Organization Name:GARRETT CONSULTING & CASE MGMT SVC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR/OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:WANDA
Authorized Official - Middle Name:
Authorized Official - Last Name:GARRETT
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:404-455-2907
Mailing Address - Street 1:PO BOX 17534
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30316-0534
Mailing Address - Country:US
Mailing Address - Phone:404-455-2907
Mailing Address - Fax:404-286-5683
Practice Address - Street 1:3013 RAINBOW DR.
Practice Address - Street 2:SUITE 112E
Practice Address - City:DECATUR
Practice Address - State:GA
Practice Address - Zip Code:30034-1644
Practice Address - Country:US
Practice Address - Phone:404-455-2907
Practice Address - Fax:404-286-5683
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:GARRETT COMMUNITY SERVICES, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-10-22
Last Update Date:2011-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251S00000XAgenciesCommunity/Behavioral Health
No172V00000XOther Service ProvidersCommunity Health WorkerGroup - Single Specialty
No251B00000XAgenciesCase ManagementGroup - Single Specialty