| Generational Resources Llc | |
|
5811 Bellingrath Way Lithonia GA 30058 | |
| (404) 788-9237 | |
| Not Available |
| Full Name | Generational Resources Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 5811 Bellingrath Way, Lithonia, Georgia |
| Authorized Official Name and Position | Tisa Stanley (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 4048278038 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Generational Resources Llc 5811 Bellingrath Way Lithonia GA 30058-3209 Ph: () - | Generational Resources Llc 5811 Bellingrath Way Lithonia GA 30058 Ph: (404) 788-9237 |
| NPI Number | 1063034643 |
|---|---|
| Provider Enumeration Date | 05/17/2020 |
| Last Update Date | 03/20/2024 |
| Certification Date | 03/19/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063034643 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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› Verified 8 days ago
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