Angels Recovery | |
6755 Peachtree Industrial Blvd 110 Atlanta GA 30360-2223 | |
(404) 312-6531 | |
Not Available |
Full Name | Angels Recovery |
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Speciality | Counselor |
Location | 6755 Peachtree Industrial Blvd, Atlanta, Georgia |
Authorized Official Name and Position | Elizabeth Toledo (DIRECTOR) |
Authorized Official Contact | 4043126531 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Angels Recovery 1200 Independence Way Norcross GA 30093-6810 Ph: () - | Angels Recovery 6755 Peachtree Industrial Blvd 110 Atlanta GA 30360-2223 Ph: (404) 312-6531 |
NPI Number | 1255743837 |
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Provider Enumeration Date | 05/29/2014 |
Last Update Date | 05/29/2014 |
Medicare PECOS PAC ID | 1951527688 |
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Medicare Enrollment ID | O20140807002489 |
Identifier | Type | State | Issuer |
---|---|---|---|
1255743837 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | CSW004248 (Georgia) | Primary |
Provider Name | Elizabeth Toledo |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1851564926 PECOS PAC ID: 4587859368 Enrollment ID: I20101108000454 |
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