Organization
DEMA AGENCY CONSULTANTS LLC
Active
Other names
DEMA Health
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CASSANDRA GOVAN (CEO)
(630) 880-2150
Entity
Organization
Contact information
Practice address
699 W RIALTO AVE UNIT B, SAN BERNARDINO, CA 92410-3327
(312) 728-3509
(312) 312-7364
Mailing address
1074 PEACHTREE WALK NE UNIT B503, ATLANTA, GA 30309-3968
(630) 880-2150
(312) 312-7364
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103T00000X
Psychologist
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
11/11/2022
Last updated
02/14/2024
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