| Barry J. Bouillion Jr., Ma, Lpc, Lmft, Llc | |
|
3380 Trickum Rd Bldg 700 Woodstock GA 30188-3680 | |
| (601) 398-6797 | |
| Not Available |
| Full Name | Barry J. Bouillion Jr., Ma, Lpc, Lmft, Llc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 3380 Trickum Rd Bldg 700, Woodstock, Georgia |
| Authorized Official Name and Position | Barry James Bouillion (LICENSED PROFESSIONAL COUNSELOR) |
| Authorized Official Contact | 6013986797 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Barry J. Bouillion Jr., Ma, Lpc, Lmft, Llc 317 Knotts Cir Woodstock GA 30188-4569 Ph: (601) 398-6797 | Barry J. Bouillion Jr., Ma, Lpc, Lmft, Llc 3380 Trickum Rd Bldg 700 Woodstock GA 30188-3680 Ph: (601) 398-6797 |
| NPI Number | 1881179091 |
|---|---|
| Provider Enumeration Date | 10/03/2018 |
| Last Update Date | 10/03/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881179091 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Secondary |
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