Clear Point Therapeutic Services Llc | |
304 Janet St Ste H Valdosta GA 31602-2643 | |
(229) 560-5418 | |
(229) 233-3101 |
Full Name | Clear Point Therapeutic Services Llc |
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Speciality | Clinic/Center |
Location | 304 Janet St Ste H, Valdosta, Georgia |
Authorized Official Name and Position | Nyesia Knight (LCSW/OWNER) |
Authorized Official Contact | 8038341229 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Clear Point Therapeutic Services Llc 3449 Norton Pl Valdosta GA 31605-6595 Ph: (229) 560-5418 | Clear Point Therapeutic Services Llc 304 Janet St Ste H Valdosta GA 31602-2643 Ph: (229) 560-5418 |
NPI Number | 1912645961 |
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Provider Enumeration Date | 05/20/2022 |
Last Update Date | 08/18/2023 |
Certification Date | 08/18/2023 |
Medicare PECOS PAC ID | 0345628889 |
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Medicare Enrollment ID | O20220613000140 |
Identifier | Type | State | Issuer |
---|---|---|---|
1912645961 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Provider Name | Nyesia Knight |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1487219770 PECOS PAC ID: 1254719792 Enrollment ID: I20220613000184 |
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