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Organization
HEALTHY YM GA LLC
Active
Organization
HEALTHY YM GA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL GRAF (CEO)
(646) 523-5264
Entity
Organization
Contact information
Practice address
100 BULL ST STE 200, SAVANNAH, GA 31401-3378
(720) 613-6407
(866) 677-3077
Mailing address
PO BOX 6080, VAIL, CO 81658-6080
(646) 523-5264
(866) 677-3077
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
103K00000X
Behavior Analyst
—
—
103T00000X
Psychologist
—
—
103TB0200X
Cognitive & Behavioral Psychologist
—
—
103TC0700X
Clinical Psychologist
—
—
103TC1900X
Counseling Psychologist
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
2080P0006X
Developmental - Behavioral Pediatrics Physician
—
—
2080P0008X
Pediatric Neurodevelopmental Disabilities Physician
—
—
221700000X
Art Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
11/01/2023
Last updated
11/01/2023
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