| Angie Pace, Llc | |
|
309 Tanner St Carrollton GA 30117-3207 | |
| (770) 317-0796 | |
| Not Available |
| Full Name | Angie Pace, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 309 Tanner St, Carrollton, Georgia |
| Authorized Official Name and Position | Angela Crystal Pace (LICENSED PROFESSIONAL COUNSELOR) |
| Authorized Official Contact | 7703170796 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Angie Pace, Llc 310 N White St Carrollton GA 30117-2439 Ph: (770) 317-0796 | Angie Pace, Llc 309 Tanner St Carrollton GA 30117-3207 Ph: (770) 317-0796 |
| NPI Number | 1861039372 |
|---|---|
| Provider Enumeration Date | 12/03/2019 |
| Last Update Date | 09/27/2021 |
| Certification Date | 09/27/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861039372 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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