| Abundant Life Christian Counseling Inc | |
|
251 E Broad St Winder GA 30680-2206 | |
| (770) 383-2278 | |
| Not Available |
| Full Name | Abundant Life Christian Counseling Inc |
|---|---|
| Speciality | Counselor |
| Location | 251 E Broad St, Winder, Georgia |
| Authorized Official Name and Position | Betsy O Mejias (OWNER) |
| Authorized Official Contact | 7703832278 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Abundant Life Christian Counseling Inc 54 Lighthouse Dr Winder GA 30680-8399 Ph: (770) 383-2278 | Abundant Life Christian Counseling Inc 251 E Broad St Winder GA 30680-2206 Ph: (770) 383-2278 |
| NPI Number | 1861985327 |
|---|---|
| Provider Enumeration Date | 06/10/2018 |
| Last Update Date | 06/10/2018 |
| Medicare PECOS PAC ID | 7618204264 |
|---|---|
| Medicare Enrollment ID | O20190806001549 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861985327 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | CSW005931 (Georgia) | Primary |
| Provider Name | Betsy O Mejias |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508358169 PECOS PAC ID: 1254668809 Enrollment ID: I20190806001626 |
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