Balance Ground Counseling Llc | |
240 Lofty Eagle Ln Fayetteville GA 30214-3531 | |
(770) 756-6037 | |
Not Available |
Full Name | Balance Ground Counseling Llc |
---|---|
Speciality | Counselor - Mental Health |
Location | 240 Lofty Eagle Ln, Fayetteville, Georgia |
Authorized Official Name and Position | Letrice Deloach (CEO) |
Authorized Official Contact | 4042022757 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Balance Ground Counseling Llc 240 Lofty Eagle Ln Fayetteville GA 30214-3531 Ph: (770) 756-6037 | Balance Ground Counseling Llc 240 Lofty Eagle Ln Fayetteville GA 30214-3531 Ph: (770) 756-6037 |
NPI Number | 1053937490 |
---|---|
Provider Enumeration Date | 06/22/2020 |
Last Update Date | 06/22/2020 |
Certification Date | 06/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1053937490 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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