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Organization

PERMANENCY STEPS CONSULTING FIRM, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
IVIS RENEE KING MSW (CHIEF EXECUTIVE OFFICER)
(404) 323-6198
Entity
Organization

Contact information

Practice address
136 HIGHWAY 138 SW, SUITE 200, RIVERDALE, GA 30274-4008
(404) 323-6198
(770) 472-7890
Mailing address
PO BOX 960424, RIVERDALE, GA 30296-0424
(404) 323-6198
(770) 472-7890

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
CSW000573
GA
251S00000X
Community/Behavioral Health Agency
Primary
CSW000573
GA
251X00000X
Supports Brokerage Agency
252Y00000X
Early Intervention Provider Agency
CSW000573
GA
347C00000X
Private Vehicle
347E00000X
Transportation Broker

Other

Enumeration date
01/01/2012
Last updated
01/12/2012
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