Practical Guidance & Psychtherapy Inc. | |
747 Lauren Pkwy Stone Mountain GA 30083-3483 | |
(678) 576-3824 | |
Not Available |
Full Name | Practical Guidance & Psychtherapy Inc. |
---|---|
Speciality | Counselor - Mental Health |
Location | 747 Lauren Pkwy, Stone Mountain, Georgia |
Authorized Official Name and Position | Carla D Hawkins (OWNER) |
Authorized Official Contact | 6785763824 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Practical Guidance & Psychtherapy Inc. 747 Lauren Pkwy Stone Mountain GA 30083-3483 Ph: (678) 576-3824 | Practical Guidance & Psychtherapy Inc. 747 Lauren Pkwy Stone Mountain GA 30083-3483 Ph: (678) 576-3824 |
NPI Number | 1003072703 |
---|---|
Provider Enumeration Date | 08/01/2008 |
Last Update Date | 08/01/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1003072703 | NPI | - | NPPES |
205339263A | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 003303LPC (Georgia) | Primary |
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