| A2c Therapeutic Services Inc | |
|
125 N College St Statesboro GA 30458-5387 | |
| (912) 764-7785 | |
| (912) 764-6977 |
| Full Name | A2c Therapeutic Services Inc |
|---|---|
| Speciality | Social Worker |
| Location | 125 N College St, Statesboro, Georgia |
| Authorized Official Name and Position | Joseph Chad Clifton (PRESIDENT) |
| Authorized Official Contact | 9127647785 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| A2c Therapeutic Services Inc Po Box 411 Statesboro GA 30459-0411 Ph: (912) 764-7785 | A2c Therapeutic Services Inc 125 N College St Statesboro GA 30458-5387 Ph: (912) 764-7785 |
| NPI Number | 1437414794 |
|---|---|
| Provider Enumeration Date | 07/11/2012 |
| Last Update Date | 08/13/2013 |
| Medicare PECOS PAC ID | 7315183787 |
|---|---|
| Medicare Enrollment ID | O20130410000219 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437414794 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | CSW003223 (Georgia) | Primary |
| Provider Name | Amy P Clifton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184765828 PECOS PAC ID: 2163419995 Enrollment ID: I20040426001137 |
| Provider Name | Joseph C Clifton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922143536 PECOS PAC ID: 2567520992 Enrollment ID: I20081029000051 |
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