| Broken Branches Counseling, Llc | |
|
500 Lanier Ave W Ste 301 Fayetteville GA 30214-7639 | |
| (470) 532-9213 | |
| Not Available |
| Full Name | Broken Branches Counseling, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 500 Lanier Ave W Ste 301, Fayetteville, Georgia |
| Authorized Official Name and Position | Karen Ayers (OWNER) |
| Authorized Official Contact | 7709127402 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Broken Branches Counseling, Llc 500 Lanier Ave W Ste 301 Fayetteville GA 30214-7639 Ph: (770) 912-7402 | Broken Branches Counseling, Llc 500 Lanier Ave W Ste 301 Fayetteville GA 30214-7639 Ph: (470) 532-9213 |
| NPI Number | 1790597342 |
|---|---|
| Provider Enumeration Date | 01/21/2025 |
| Last Update Date | 01/21/2025 |
| Certification Date | 01/21/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790597342 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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