| 712 Q.a.c.c. Counseling For The Soul | |
|
13051 Abercorn St Ste B3 526 Savannah GA 31419-3141 | |
| (678) 744-5603 | |
| (877) 278-1045 |
| Full Name | 712 Q.a.c.c. Counseling For The Soul |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 13051 Abercorn St Ste B3 526, Savannah, Georgia |
| Authorized Official Name and Position | Andrina Jordan (FOUNDER/CEO) |
| Authorized Official Contact | 6787445603 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| 712 Q.a.c.c. Counseling For The Soul Po Box 7174 Garden City GA 31418-7174 Ph: (678) 744-5603 | 712 Q.a.c.c. Counseling For The Soul 13051 Abercorn St Ste B3 526 Savannah GA 31419-3141 Ph: (678) 744-5603 |
| NPI Number | 1922633692 |
|---|---|
| Provider Enumeration Date | 03/03/2020 |
| Last Update Date | 03/03/2020 |
| Certification Date | 03/03/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922633692 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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