| Avita Community Partners | |
|
4331 Thurmond Tanner Pkwy Flowery Branch GA 30542-2829 | |
| (678) 513-5700 | |
| (678) 513-5836 |
| Full Name | Avita Community Partners |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 4331 Thurmond Tanner Pkwy, Flowery Branch, Georgia |
| Authorized Official Name and Position | Michelle Evie Miller (BILLING SPECIALIST) |
| Authorized Official Contact | 6785135736 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Avita Community Partners 129 North Main St Cleveland GA 30528-1123 Ph: (706) 348-4060 | Avita Community Partners 4331 Thurmond Tanner Pkwy Flowery Branch GA 30542-2829 Ph: (678) 513-5700 |
| NPI Number | 1265702013 |
|---|---|
| Provider Enumeration Date | 01/11/2012 |
| Last Update Date | 01/11/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265702013 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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Avita Community Partners Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4331 Thurmon Tanner Rd, Flowery Branch, GA 30542 Phone: 678-513-5700 |