Provider Demographics
NPI:1497385942
Name:PSALMS 71 INC.
Entity Type:Organization
Organization Name:PSALMS 71 INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SENIOR CASE MANAGER
Authorized Official - Prefix:MISS
Authorized Official - First Name:THERESA
Authorized Official - Middle Name:A
Authorized Official - Last Name:THOMAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:678-829-3783
Mailing Address - Street 1:424 SE BROAD ST STE 2
Mailing Address - Street 2:
Mailing Address - City:FAIRBURN
Mailing Address - State:GA
Mailing Address - Zip Code:30213-1561
Mailing Address - Country:US
Mailing Address - Phone:678-829-3783
Mailing Address - Fax:
Practice Address - Street 1:424 SE BROAD ST STE 2
Practice Address - Street 2:
Practice Address - City:FAIRBURN
Practice Address - State:GA
Practice Address - Zip Code:30213-1561
Practice Address - Country:US
Practice Address - Phone:678-829-3783
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-23
Last Update Date:2023-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management