| Bright Star Counseling Llc | |
|
37 Woolsey Rd Hampton GA 30228-2922 | |
| (678) 379-9967 | |
| Not Available |
| Full Name | Bright Star Counseling Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 37 Woolsey Rd, Hampton, Georgia |
| Authorized Official Name and Position | Kara Rogers (LICENSED COUNSELOR) |
| Authorized Official Contact | 6783799967 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bright Star Counseling Llc Po Box 566 Sunny Side GA 30284-0566 Ph: (678) 379-9967 | Bright Star Counseling Llc 37 Woolsey Rd Hampton GA 30228-2922 Ph: (678) 379-9967 |
| NPI Number | 1619304722 |
|---|---|
| Provider Enumeration Date | 10/03/2013 |
| Last Update Date | 10/03/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619304722 | NPI | - | NPPES |
| 721587 | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | LPC 02661 (Georgia) | Primary |
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