Provider Demographics
NPI:1730432147
Name:IT'S ABOUT YOU & ME, LLC
Entity type:Organization
Organization Name:IT'S ABOUT YOU & ME, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CERTIFIED COACH PRACTITIONER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LINNEA
Authorized Official - Middle Name:C
Authorized Official - Last Name:BUCKHALTER
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:678-753-5028
Mailing Address - Street 1:2478 DAWN DR
Mailing Address - Street 2:
Mailing Address - City:DECATUR
Mailing Address - State:GA
Mailing Address - Zip Code:30032-6347
Mailing Address - Country:US
Mailing Address - Phone:678-753-5028
Mailing Address - Fax:
Practice Address - Street 1:2478 DAWN DR
Practice Address - Street 2:
Practice Address - City:DECATUR
Practice Address - State:GA
Practice Address - Zip Code:30032-6347
Practice Address - Country:US
Practice Address - Phone:678-753-5028
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-23
Last Update Date:2012-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305S00000XManaged Care OrganizationsPoint of Service