Provider Demographics
NPI:1568977015
Name:HTB CONSULTING
Entity Type:Organization
Organization Name:HTB CONSULTING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EMPLOYEE
Authorized Official - Prefix:DR
Authorized Official - First Name:LISA
Authorized Official - Middle Name:N
Authorized Official - Last Name:MIELCARSKI
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:678-462-4402
Mailing Address - Street 1:5079 N DIXIE HWY STE 310
Mailing Address - Street 2:
Mailing Address - City:OAKLAND PARK
Mailing Address - State:FL
Mailing Address - Zip Code:33334-4000
Mailing Address - Country:US
Mailing Address - Phone:678-852-4070
Mailing Address - Fax:770-834-4814
Practice Address - Street 1:210 SOUTH ST
Practice Address - Street 2:
Practice Address - City:CARROLLTON
Practice Address - State:GA
Practice Address - Zip Code:30117-3738
Practice Address - Country:US
Practice Address - Phone:770-834-6669
Practice Address - Fax:770-834-4814
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-12-06
Last Update Date:2017-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty