Provider Demographics
NPI:1326683491
Name:INNER DEVELOPMENT LLC
Entity Type:Organization
Organization Name:INNER DEVELOPMENT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:
Authorized Official - Last Name:SARAVIA
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:678-255-8444
Mailing Address - Street 1:2023 RAMBLEWOOD CT
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30062-3807
Mailing Address - Country:US
Mailing Address - Phone:770-540-5553
Mailing Address - Fax:
Practice Address - Street 1:540 POWDER SPRINGS ST
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30064-3549
Practice Address - Country:US
Practice Address - Phone:678-255-8444
Practice Address - Fax:678-402-5566
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-13
Last Update Date:2019-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty