Organization
BSMITH CONSULTING GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BEVERLY HARRIS LPC, NCC, HS-DCP (CEO)
(678) 523-1715
Entity
Organization
Contact information
Practice address
4046 HIGHWAY 154 STE 114, NEWNAN, GA 30265-2330
(678) 253-1715
Mailing address
4046 HWY 154,, SUITE 114, NEWNAN, GA 30265
(678) 253-1715
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
171W00000X
Contractor
—
—
251B00000X
Case Management Agency
LPC003014
GA
251S00000X
Community/Behavioral Health Agency
Primary
LPC003014
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003109153A
—
GA
Enumeration date
05/16/2011
Last updated
12/20/2011
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