Organization Name: | AMODESTRI ASSOCIATES, LLC |
NPI Number: | 1215396122 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | NA'KEYA C THOMAS (OWNER/DIRECTOR) |
Mailing Address: | 11780 Hastings Bridge Rd Hampton |
State: | GA US |
Postal Code: | 302286271 |
Phone Number: | 6783346381 |
Fax Number: | |
NPI Enumeration Date: | 02/19/2016 |
NPI Last Update Date: | 02/19/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |