| A Conscious Life | |
|
2795 Main St W Ste 19a Snellville GA 30078-3072 | |
| (770) 231-4792 | |
| Not Available |
| Full Name | A Conscious Life |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 2795 Main St W Ste 19a, Snellville, Georgia |
| Authorized Official Name and Position | Camille Dione Grier (OWNER) |
| Authorized Official Contact | 7702314792 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| A Conscious Life 532 Holick Ave Henderson NV 89011-4339 Ph: (770) 231-4792 | A Conscious Life 2795 Main St W Ste 19a Snellville GA 30078-3072 Ph: (770) 231-4792 |
| NPI Number | 1902412497 |
|---|---|
| Provider Enumeration Date | 09/20/2020 |
| Last Update Date | 07/13/2023 |
| Certification Date | 07/13/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902412497 | NPI | - | NPPES |
| 003230940A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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