| By Grace Counseling Llc | |
|
100 Hemingway Ln Roswell GA 30075-7024 | |
| (470) 765-8393 | |
| Not Available |
| Full Name | By Grace Counseling Llc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 100 Hemingway Ln, Roswell, Georgia |
| Authorized Official Name and Position | Tisa Macklin-stanley (PROVIDER) |
| Authorized Official Contact | 4048278038 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| By Grace Counseling Llc 734 Hemingway Ln Roswell GA 30075-7006 Ph: () - | By Grace Counseling Llc 100 Hemingway Ln Roswell GA 30075-7024 Ph: (470) 765-8393 |
| NPI Number | 1841808060 |
|---|---|
| Provider Enumeration Date | 07/14/2020 |
| Last Update Date | 07/14/2020 |
| Certification Date | 07/14/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841808060 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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