| 3hc | |
|
2330 Scenic Hwy S Snellville GA 30078-3115 | |
| (404) 492-7015 | |
| (404) 492-7017 |
| Full Name | 3hc |
|---|---|
| Speciality | Counselor |
| Location | 2330 Scenic Hwy S, Snellville, Georgia |
| Authorized Official Name and Position | Miko Jones (OWNER/DIRECTOR) |
| Authorized Official Contact | 4044927015 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| 3hc 2330 Scenic Hwy S Snellville GA 30078-3115 Ph: (404) 492-7015 | 3hc 2330 Scenic Hwy S Snellville GA 30078-3115 Ph: (404) 492-7015 |
| NPI Number | 1699100941 |
|---|---|
| Provider Enumeration Date | 09/05/2013 |
| Last Update Date | 04/08/2024 |
| Certification Date | 04/08/2024 |
| Medicare PECOS PAC ID | 5597103739 |
|---|---|
| Medicare Enrollment ID | O20240405002847 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699100941 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| 251S00000X | Community/behavioral Health | LPC007338 (Georgia) | Secondary |
| Provider Name | Miko A Jones |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1063851970 PECOS PAC ID: 9931546009 Enrollment ID: I20240325002625 |
| Provider Name | Boris Mcguire Day |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1467993345 PECOS PAC ID: 1254771769 Enrollment ID: I20240501002406 |
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