Organization
INFINITY SERVICES GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUBRICCA THJUANA HICKS LCSW (OWNER)
(229) 669-2080
Entity
Organization
Contact information
Practice address
3601 HILTON AVE STE 225, COLUMBUS, GA 31904-7373
(229) 669-2080
(706) 608-8345
Mailing address
4326 BRADDOCK DR, COLUMBUS, GA 31907-5422
(229) 669-2080
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003199361A
—
GA
Enumeration date
08/03/2018
Last updated
08/03/2018
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