| Center For Behavioral Change Pc | |
|
4151 Memorial Dr Suite 107e Decatur GA 30032-1504 | |
| (404) 292-8388 | |
| Not Available |
| Full Name | Center For Behavioral Change Pc |
|---|---|
| Speciality | Psychologist |
| Location | 4151 Memorial Dr, Decatur, Georgia |
| Authorized Official Name and Position | Willie B Francis (PSYCHOLOGIST) |
| Authorized Official Contact | 4042928388 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Center For Behavioral Change Pc 4151 Memorial Dr Suite 107e Decatur GA 30032-1504 Ph: (404) 292-8388 | Center For Behavioral Change Pc 4151 Memorial Dr Suite 107e Decatur GA 30032-1504 Ph: (404) 292-8388 |
| NPI Number | 1861548190 |
|---|---|
| Provider Enumeration Date | 01/27/2007 |
| Last Update Date | 04/02/2013 |
| Medicare PECOS PAC ID | 1052498821 |
|---|---|
| Medicare Enrollment ID | O20080403000052 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861548190 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 1661 (Georgia) | Primary |
| Provider Name | Willie B Francis |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1972523199 PECOS PAC ID: 0143284190 Enrollment ID: I20041118000685 |
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