# MULTI-CARE MANAGEMENT SERVICES, CORP.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073861753
- **Authorized official:** DR. DEBORAH S. PORTER PH.D (FOUNDER)
- **Authorized official phone:** (770) 941-8890

## Contact information

- **Practice address:** 3505 VETERANS MEMORIAL HWY, SUITE 1A & 2A, LITHIA SPRINGS, GA 30122-1460
- **Practice address phone:** (770) 941-8890
- **Mailing address:** 8491 HOSPITAL DR., \#163, DOUGLASVILLE, GA 30134
- **Mailing address phone:** (770) 941-8890

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | 048-R-1156 | GA | — |
| 101YM0800X | Mental Health Counselor | 048-R-1156 | GA | — |
| 101YP2500X | Professional Counselor | 048-R-1156 | GA | — |
| 103TB0200X | Cognitive & Behavioral Psychologist | 048-R-1156 | GA | — |
| 103TC2200X | Clinical Child & Adolescent Psychologist | 048-R-1156 | GA | — |
| 103TF0000X | Family Psychologist | 048-R-1156 | GA | — |
| 103TP2701X | Group Psychotherapy Psychologist | 048-R-1156 | GA | — |
| 1041C0700X | Clinical Social Worker | 048-R-1156 | GA | — |
| 106H00000X | Marriage & Family Therapist | 048-R-1156 | GA | — |
| 171M00000X | Case Manager/Care Coordinator | 048-R-1156 | GA | — |
| 2084F0202X | Forensic Psychiatry Physician | 048-R-1156 | GA | — |
| 2084P0800X | Psychiatry Physician | 048-R-1156 | GA | — |
| 251J00000X | Nursing Care Agency | 048-R-1156 | GA | — |
| 253Z00000X | In Home Supportive Care Agency | 048-R-1156 | GA | Yes |
| 311ZA0620X | Adult Care Home Facility | 048-R-1156 | GA | — |

## Other

- **Enumeration date:** 08/28/2012
- **Last updated:** 04/20/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 003151548A | — | GA |
| 05 | — | 003151548B | — | GA |
| 01 | — | 1094113 | WELLCARE HEALTH PLANS | GA |