| Center For Stress Management & Psychological Services (the Center) | |
|
3825 Jodeco Rd Mcdonough GA 30253-5423 | |
| (678) 961-3871 | |
| Not Available |
| Full Name | Center For Stress Management & Psychological Services (the Center) |
|---|---|
| Speciality | Psychologist |
| Location | 3825 Jodeco Rd, Mcdonough, Georgia |
| Authorized Official Name and Position | Damafing Keita Thomas (OWNER/FOUNDER) |
| Authorized Official Contact | 6789771532 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Center For Stress Management & Psychological Services (the Center) 1787 Deer Crossing Way Jonesboro GA 30236-5199 Ph: (678) 977-1532 | Center For Stress Management & Psychological Services (the Center) 3825 Jodeco Rd Mcdonough GA 30253-5423 Ph: (678) 961-3871 |
| NPI Number | 1124592332 |
|---|---|
| Provider Enumeration Date | 01/22/2019 |
| Last Update Date | 01/22/2019 |
| Medicare PECOS PAC ID | 1355683871 |
|---|---|
| Medicare Enrollment ID | O20190503000464 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124592332 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Damafing Thomas |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1780840082 PECOS PAC ID: 5294903589 Enrollment ID: I20110712000172 |
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