Provider Demographics
NPI:1407095243
Name:RESPONSIBLE CHILD, LLC
Entity Type:Organization
Organization Name:RESPONSIBLE CHILD, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT, THERAPIST
Authorized Official - Prefix:DR
Authorized Official - First Name:YUEHONG
Authorized Official - Middle Name:CHEN
Authorized Official - Last Name:FOLEY
Authorized Official - Suffix:
Authorized Official - Credentials:PHD LPC, NCC
Authorized Official - Phone:404-964-1638
Mailing Address - Street 1:2775 CRUSE RD
Mailing Address - Street 2:SUITE 1601
Mailing Address - City:LAWRENCEVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30044-7140
Mailing Address - Country:US
Mailing Address - Phone:678-924-3201
Mailing Address - Fax:678-924-3202
Practice Address - Street 1:2775 CRUSE RD
Practice Address - Street 2:SUITE 1601
Practice Address - City:LAWRENCEVILLE
Practice Address - State:GA
Practice Address - Zip Code:30044-7140
Practice Address - Country:US
Practice Address - Phone:678-924-3201
Practice Address - Fax:678-924-3202
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-18
Last Update Date:2009-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC004844251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA9489135OtherAETNA
GA328478934CMedicaid
GA345107105AMedicaid
436910OtherMANAGED HEALTHCARE NETWORK
11855418OtherCAQH
GA9489135OtherAETNA