| 2 Vets Counseling & Wellness, Llc | |
|
106 Cross Creek Ct Villa Rica GA 30180-1300 | |
| (256) 688-0800 | |
| (256) 688-0860 |
| Full Name | 2 Vets Counseling & Wellness, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 106 Cross Creek Ct, Villa Rica, Georgia |
| Authorized Official Name and Position | Terri Jackson (THERAPIST/OWNER) |
| Authorized Official Contact | 2566880800 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| 2 Vets Counseling & Wellness, Llc 106 Cross Creek Ct Villa Rica GA 30180-1300 Ph: (256) 688-0800 | 2 Vets Counseling & Wellness, Llc 106 Cross Creek Ct Villa Rica GA 30180-1300 Ph: (256) 688-0800 |
| NPI Number | 1184374035 |
|---|---|
| Provider Enumeration Date | 03/24/2022 |
| Last Update Date | 03/25/2022 |
| Certification Date | 03/25/2022 |
| Medicare PECOS PAC ID | 8628442548 |
|---|---|
| Medicare Enrollment ID | O20230316000426 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184374035 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Terri L Jackson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629546965 PECOS PAC ID: 6507296118 Enrollment ID: I20230316000591 |
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