Provider Demographics
NPI:1982871471
Name:CLINICAL CONVERSATIONS, INC
Entity Type:Organization
Organization Name:CLINICAL CONVERSATIONS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ANGIE
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:HEATH
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:770-807-2182
Mailing Address - Street 1:5680 PEACHTREE PARKWAY
Mailing Address - Street 2:SUITE B
Mailing Address - City:PEACHTREE CORNERS
Mailing Address - State:GA
Mailing Address - Zip Code:30092-2860
Mailing Address - Country:US
Mailing Address - Phone:770-807-2182
Mailing Address - Fax:470-375-7727
Practice Address - Street 1:5680 PEACHTREE PARKWAY
Practice Address - Street 2:SUITE B
Practice Address - City:PEACHTREE CORNERS
Practice Address - State:GA
Practice Address - Zip Code:30092-2860
Practice Address - Country:US
Practice Address - Phone:770-807-2182
Practice Address - Fax:470-375-7727
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-13
Last Update Date:2015-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK3488302R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302R00000XManaged Care OrganizationsHealth Maintenance Organization