| Candice Scurry | |
|
88 N Avondale Rd # 352 Avondale Estates GA 30002-1323 | |
| (470) 588-5570 | |
| (832) 218-4013 |
| Full Name | Candice Scurry |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 88 N Avondale Rd # 352, Avondale Estates, Georgia |
| Authorized Official Name and Position | Candice Scurry (OWNER) |
| Authorized Official Contact | 8326411221 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Candice Scurry 24285 Katy Fwy Ste 300 Katy TX 77494-1128 Ph: (832) 641-1221 | Candice Scurry 88 N Avondale Rd # 352 Avondale Estates GA 30002-1323 Ph: (470) 588-5570 |
| NPI Number | 1447819867 |
|---|---|
| Provider Enumeration Date | 06/10/2019 |
| Last Update Date | 07/30/2024 |
| Certification Date | 07/30/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447819867 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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