Provider Demographics
NPI:1710544309
Name:INDIVIDUAL AND FAMILY MATTERS, LLC
Entity Type:Organization
Organization Name:INDIVIDUAL AND FAMILY MATTERS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DONNA
Authorized Official - Middle Name:
Authorized Official - Last Name:COCHRAN HARROW
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:678-759-0285
Mailing Address - Street 1:821 PAVILION CT STE F
Mailing Address - Street 2:
Mailing Address - City:MCDONOUGH
Mailing Address - State:GA
Mailing Address - Zip Code:30253-6790
Mailing Address - Country:US
Mailing Address - Phone:678-759-0285
Mailing Address - Fax:678-759-0287
Practice Address - Street 1:821 PAVILION CT STE F
Practice Address - Street 2:
Practice Address - City:MCDONOUGH
Practice Address - State:GA
Practice Address - Zip Code:30253-6790
Practice Address - Country:US
Practice Address - Phone:678-759-0285
Practice Address - Fax:678-759-0287
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-20
Last Update Date:2019-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health