| Beautiful Bloom Counseling & Consulting Llc | |
|
3485 Mcever Rd Ste 205 Gainesville GA 30504-5542 | |
| (770) 450-9900 | |
| (770) 450-9300 |
| Full Name | Beautiful Bloom Counseling & Consulting Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 3485 Mcever Rd Ste 205, Gainesville, Georgia |
| Authorized Official Name and Position | Kelley Dodson (THERAPIST/OWNER) |
| Authorized Official Contact | 7702621311 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Beautiful Bloom Counseling & Consulting Llc 3485 Mcever Rd Ste 205 Gainesville GA 30504-5542 Ph: (770) 450-9900 | Beautiful Bloom Counseling & Consulting Llc 3485 Mcever Rd Ste 205 Gainesville GA 30504-5542 Ph: (770) 450-9900 |
| NPI Number | 1972257772 |
|---|---|
| Provider Enumeration Date | 02/09/2022 |
| Last Update Date | 02/14/2022 |
| Certification Date | 02/14/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972257772 | NPI | - | NPPES |
| 003209993A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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