| Central Georgia Counseling Services | |
|
100 Katelyn Cir Ste B Warner Robins GA 31088 | |
| (478) 953-2122 | |
| Not Available |
| Full Name | Central Georgia Counseling Services |
|---|---|
| Speciality | Counselor |
| Location | 100 Katelyn Cir Ste B, Warner Robins, Georgia |
| Authorized Official Name and Position | Karen Richardson (OWNER/PROVIDER) |
| Authorized Official Contact | 4784422356 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Central Georgia Counseling Services Po Box 635 Bonaire GA 31005-0635 Ph: (478) 442-2356 | Central Georgia Counseling Services 100 Katelyn Cir Ste B Warner Robins GA 31088 Ph: (478) 953-2122 |
| NPI Number | 1285143685 |
|---|---|
| Provider Enumeration Date | 09/28/2017 |
| Last Update Date | 07/17/2018 |
| Medicare PECOS PAC ID | 1153765664 |
|---|---|
| Medicare Enrollment ID | O20240222002928 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285143685 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | LPC003950 (Georgia) | Primary |
| Provider Name | Karen J Richardson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1376510834 PECOS PAC ID: 0749624252 Enrollment ID: I20240313000065 |
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