Aurora Counseling For Healing And Change | |
137 N Midland Ave Monroe GA 30655-2327 | |
(706) 224-3396 | |
(678) 635-7152 |
Full Name | Aurora Counseling For Healing And Change |
---|---|
Speciality | Social Worker |
Location | 137 N Midland Ave, Monroe, Georgia |
Authorized Official Name and Position | Angela M. Eells (OWNER/CLINICAL DIRECTOR) |
Authorized Official Contact | 7062243396 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Aurora Counseling For Healing And Change Po Box 546 Monroe GA 30655-0546 Ph: (706) 224-3396 | Aurora Counseling For Healing And Change 137 N Midland Ave Monroe GA 30655-2327 Ph: (706) 224-3396 |
NPI Number | 1346681889 |
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Provider Enumeration Date | 07/12/2013 |
Last Update Date | 08/14/2013 |
Medicare PECOS PAC ID | 2860634961 |
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Medicare Enrollment ID | O20130819000714 |
Identifier | Type | State | Issuer |
---|---|---|---|
1346681889 | NPI | - | NPPES |
586625625A | Medicaid | GA | |
003131803A | Medicaid | GA | |
586625625 C | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 4209 (Georgia) | Primary |
Provider Name | Angela M Eells |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1578892477 PECOS PAC ID: 8022152586 Enrollment ID: I20100222000434 |
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