| Am Nollenberger Counseling | |
|
104 Pilgrim Village Dr Ste 300 Cumming GA 30040-9232 | |
| (470) 253-4557 | |
| Not Available |
| Full Name | Am Nollenberger Counseling |
|---|---|
| Speciality | Counselor |
| Location | 104 Pilgrim Village Dr Ste 300, Cumming, Georgia |
| Authorized Official Name and Position | Ashley Nollenberger (OWNER) |
| Authorized Official Contact | 4702534557 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Am Nollenberger Counseling 6225 Santa Fe Trl Cumming GA 30028-4916 Ph: (470) 253-4557 | Am Nollenberger Counseling 104 Pilgrim Village Dr Ste 300 Cumming GA 30040-9232 Ph: (470) 253-4557 |
| NPI Number | 1427684729 |
|---|---|
| Provider Enumeration Date | 03/18/2020 |
| Last Update Date | 11/06/2023 |
| Certification Date | 11/06/2023 |
| Medicare PECOS PAC ID | 5092167767 |
|---|---|
| Medicare Enrollment ID | O20240118000388 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427684729 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Ashley Nollenberger |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1417430075 PECOS PAC ID: 6901258672 Enrollment ID: I20240118000423 |
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