| Big Umbrella Counseling | |
|
6959 Hacklebarney Rd Blackshear GA 31516-4692 | |
| (912) 278-1239 | |
| Not Available |
| Full Name | Big Umbrella Counseling |
|---|---|
| Speciality | Counselor |
| Location | 6959 Hacklebarney Rd, Blackshear, Georgia |
| Authorized Official Name and Position | Jonaton Michael Pryor (OWNER/COUNSELOR) |
| Authorized Official Contact | 9122781239 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Big Umbrella Counseling Po Box 1884 Waycross GA 31502-1884 Ph: (912) 590-2981 | Big Umbrella Counseling 6959 Hacklebarney Rd Blackshear GA 31516-4692 Ph: (912) 278-1239 |
| NPI Number | 1437805579 |
|---|---|
| Provider Enumeration Date | 02/28/2022 |
| Last Update Date | 02/28/2022 |
| Certification Date | 02/28/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437805579 | NPI | - | NPPES |
| 1093299356 | Medicaid | GA | |
| 1063996619 | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
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