Provider Demographics
NPI:1053132324
Name:HERRING'S FAMILY HEALTHCARE SERVICES LLC.
Entity type:Organization
Organization Name:HERRING'S FAMILY HEALTHCARE SERVICES LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RACHEL
Authorized Official - Middle Name:DESIREE
Authorized Official - Last Name:HERRING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:470-231-1186
Mailing Address - Street 1:2245 GODBY RD. SUITE 104
Mailing Address - Street 2:
Mailing Address - City:COLLEGE PARK
Mailing Address - State:GA
Mailing Address - Zip Code:30349
Mailing Address - Country:US
Mailing Address - Phone:470-231-1186
Mailing Address - Fax:404-601-4667
Practice Address - Street 1:2245 GODBY RD STE 104
Practice Address - Street 2:
Practice Address - City:COLLEGE PARK
Practice Address - State:GA
Practice Address - Zip Code:30349-5060
Practice Address - Country:US
Practice Address - Phone:470-231-1186
Practice Address - Fax:404-601-4667
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-21
Last Update Date:2024-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No251B00000XAgenciesCase Management