| Aos Healing Center, Llc | |
|
299 Cooper Rd Ste B Loganville GA 30052-2579 | |
| (770) 217-4336 | |
| (770) 686-3429 |
| Full Name | Aos Healing Center, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 299 Cooper Rd Ste B, Loganville, Georgia |
| Authorized Official Name and Position | Rebecca Morgan Brown (OWNER) |
| Authorized Official Contact | 7062501769 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Aos Healing Center, Llc 2973 Bud Rutledge Dr Snellville GA 30039-7132 Ph: () - | Aos Healing Center, Llc 299 Cooper Rd Ste B Loganville GA 30052-2579 Ph: (770) 217-4336 |
| NPI Number | 1467102988 |
|---|---|
| Provider Enumeration Date | 03/27/2022 |
| Last Update Date | 06/22/2024 |
| Certification Date | 06/22/2024 |
| Medicare PECOS PAC ID | 0042650327 |
|---|---|
| Medicare Enrollment ID | O20240503000632 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467102988 | NPI | - | NPPES |
| Provider Name | Rebecca Morgan Brown |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1902347792 PECOS PAC ID: 1951741230 Enrollment ID: I20240503000712 |
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