Provider Demographics
NPI:1982352928
Name:KAIZEN STRATEGIC GROUP
Entity Type:Organization
Organization Name:KAIZEN STRATEGIC GROUP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:KOLBY
Authorized Official - Middle Name:
Authorized Official - Last Name:TERRELONGE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:770-401-8114
Mailing Address - Street 1:3072 EVANS MILL RD
Mailing Address - Street 2:
Mailing Address - City:LITHONIA
Mailing Address - State:GA
Mailing Address - Zip Code:30038-2418
Mailing Address - Country:US
Mailing Address - Phone:770-401-8114
Mailing Address - Fax:
Practice Address - Street 1:3072 EVANS MILL RD
Practice Address - Street 2:
Practice Address - City:LITHONIA
Practice Address - State:GA
Practice Address - Zip Code:30038-2418
Practice Address - Country:US
Practice Address - Phone:770-401-8114
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-17
Last Update Date:2022-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty
No111NX0100XChiropractic ProvidersChiropractorOccupational HealthGroup - Multi-Specialty
No251S00000XAgenciesCommunity/Behavioral HealthGroup - Multi-Specialty