| Classic City Counseling | |
|
1 Huntington Rd Ste 204 Athens GA 30606-7206 | |
| (706) 621-8699 | |
| (770) 543-4458 |
| Full Name | Classic City Counseling |
|---|---|
| Speciality | Social Worker |
| Location | 1 Huntington Rd Ste 204, Athens, Georgia |
| Authorized Official Name and Position | Cynthia Branch (PRESIDENT) |
| Authorized Official Contact | 7066218699 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Classic City Counseling 423 Atlantic Dr Saint Simons Is GA 31522-1373 Ph: (706) 621-8699 | Classic City Counseling 1 Huntington Rd Ste 204 Athens GA 30606-7206 Ph: (706) 621-8699 |
| NPI Number | 1528238979 |
|---|---|
| Provider Enumeration Date | 03/01/2008 |
| Last Update Date | 10/24/2022 |
| Certification Date | 10/24/2022 |
| Medicare PECOS PAC ID | 3870568207 |
|---|---|
| Medicare Enrollment ID | O20170925000856 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528238979 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Cynthia Branch |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437361797 PECOS PAC ID: 9234104662 Enrollment ID: I20040831001425 |
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