| Carolyn S. Metheny, Llc | |
|
3150 Perimeter Pkwy Ste 110 Augusta GA 30909-5797 | |
| (706) 210-2767 | |
| (706) 210-4842 |
| Full Name | Carolyn S. Metheny, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3150 Perimeter Pkwy Ste 110, Augusta, Georgia |
| Authorized Official Name and Position | Carolyn S. Metheny (LICENSED PROFESSIONAL COUNSELOR) |
| Authorized Official Contact | 7062102767 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Carolyn S. Metheny, Llc 3150 Perimeter Pkwy Ste 110 Augusta GA 30909-5797 Ph: (706) 210-2767 | Carolyn S. Metheny, Llc 3150 Perimeter Pkwy Ste 110 Augusta GA 30909-5797 Ph: (706) 210-2767 |
| NPI Number | 1306216148 |
|---|---|
| Provider Enumeration Date | 10/06/2015 |
| Last Update Date | 10/06/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306216148 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | LPC006687 (Georgia) | Primary |
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