Organization
ORBEXUS PRACTITIONERS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CASSAUNDRA ANGELINA BURKS NLP PRACTITIONER, LC (PRACTITIONER)
(678) 666-2545
Entity
Organization
Contact information
Practice address
3904 WELHAM GREEN CT, DOUGLASVILLE, GA 30135-7236
(678) 666-2545
(678) 666-2444
Mailing address
3904 WELHAM GREEN CT, DOUGLASVILLE, GA 30135-7236
(678) 666-2545
Taxonomy
Speciality
Code
Description
License number
State
174200000X
Meals Provider
—
—
251K00000X
Public Health or Welfare Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
252Y00000X
Early Intervention Provider Agency
—
—
302R00000X
Health Maintenance Organization
—
—
305R00000X
Preferred Provider Organization
—
—
Other
Enumeration date
09/26/2019
Last updated
09/26/2019
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