Organization
MULTI-CARE MANAGEMENT SERVICES, CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEBORAH S. PORTER PH.D (FOUNDER)
(770) 941-8890
Entity
Organization
Contact information
Practice address
3505 VETERANS MEMORIAL HWY, SUITE 1A & 2A, LITHIA SPRINGS, GA 30122-1460
(770) 941-8890
Mailing address
8491 HOSPITAL DR., #163, DOUGLASVILLE, GA 30134
(770) 941-8890
Taxonomy
Speciality
Code
Description
License number
State
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
Primary
048-R-1156
GA
311ZA0620X
Adult Care Home Facility
048-R-1156
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003151548A
—
GA
05
—
003151548B
—
GA
01
—
1094113
WELLCARE HEALTH PLANS
GA
Enumeration date
08/28/2012
Last updated
04/20/2016
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