| Becoming Me, Llc | |
|
540 Powder Springs St Ste 17 Marietta GA 30064-3549 | |
| (229) 252-7584 | |
| (229) 252-7584 |
| Full Name | Becoming Me, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 540 Powder Springs St Ste 17, Marietta, Georgia |
| Authorized Official Name and Position | Dejerica Tinsley (OWNER) |
| Authorized Official Contact | 7042910002 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Becoming Me, Llc 540 Powder Springs St Ste 17 Marietta GA 30064-3549 Ph: (404) 590-5524 | Becoming Me, Llc 540 Powder Springs St Ste 17 Marietta GA 30064-3549 Ph: (229) 252-7584 |
| NPI Number | 1134759384 |
|---|---|
| Provider Enumeration Date | 01/16/2020 |
| Last Update Date | 01/16/2020 |
| Certification Date | 01/16/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134759384 | NPI | - | NPPES |
| 003217511A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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