| Abundant Life Psychiatric Services, Llc | |
|
95 Golden Hills Drive Suite D Mountain City GA 30562 | |
| (706) 613-4485 | |
| Not Available |
| Full Name | Abundant Life Psychiatric Services, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 95 Golden Hills Drive, Mountain City, Georgia |
| Authorized Official Name and Position | Deborah Racadag (OFFICE MANAGER/CO-OWNER) |
| Authorized Official Contact | 7066134485 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Abundant Life Psychiatric Services, Llc Po Box 1170 Clayton GA 30525-0030 Ph: (706) 613-4485 | Abundant Life Psychiatric Services, Llc 95 Golden Hills Drive Suite D Mountain City GA 30562 Ph: (706) 613-4485 |
| NPI Number | 1245919430 |
|---|---|
| Provider Enumeration Date | 07/14/2023 |
| Last Update Date | 07/28/2023 |
| Certification Date | 07/28/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245919430 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Renewal Christian Counseling Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 95 Golden Hills Drive, Suite D, Mountain City, GA 30562 Phone: 706-614-4786 Fax: 855-945-3795 |