| Classic City Counseling & Consultation Llc | |
|
159 Oneta St. Unit 1a Suite 7 Athens GA 30601 | |
| (706) 207-1201 | |
| Not Available |
| Full Name | Classic City Counseling & Consultation Llc |
|---|---|
| Speciality | Psychologist |
| Location | 159 Oneta St., Athens, Georgia |
| Authorized Official Name and Position | Angela Hahn (WONER) |
| Authorized Official Contact | 7062071201 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Classic City Counseling & Consultation Llc 145 Rollingwood Dr Athens GA 30605-3327 Ph: (706) 207-1201 | Classic City Counseling & Consultation Llc 159 Oneta St. Unit 1a Suite 7 Athens GA 30601 Ph: (706) 207-1201 |
| NPI Number | 1154971679 |
|---|---|
| Provider Enumeration Date | 09/17/2019 |
| Last Update Date | 07/05/2023 |
| Certification Date | 10/24/2022 |
| Medicare PECOS PAC ID | 3779969282 |
|---|---|
| Medicare Enrollment ID | O20221006003546 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154971679 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Angela Hahn |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1093264319 PECOS PAC ID: 4688050198 Enrollment ID: I20221006003565 |
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