Clearview Counseling & Wellness Services, Inc | |
316 S 9th St Griffin GA 30224-4159 | |
(770) 865-5073 | |
Not Available |
Full Name | Clearview Counseling & Wellness Services, Inc |
---|---|
Speciality | Counselor |
Location | 316 S 9th St, Griffin, Georgia |
Authorized Official Name and Position | Malochee Joseph (OWNER) |
Authorized Official Contact | 7708655073 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Clearview Counseling & Wellness Services, Inc 403 Azure Ct Stockbridge GA 30281-7005 Ph: (770) 865-5073 | Clearview Counseling & Wellness Services, Inc 316 S 9th St Griffin GA 30224-4159 Ph: (770) 865-5073 |
NPI Number | 1518623768 |
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Provider Enumeration Date | 11/11/2021 |
Last Update Date | 03/18/2024 |
Certification Date | 03/18/2024 |
Medicare PECOS PAC ID | 7012352305 |
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Medicare Enrollment ID | O20240227000128 |
Identifier | Type | State | Issuer |
---|---|---|---|
1518623768 | NPI | - | NPPES |
0005857 | Other | GA | LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
Provider Name | Malochee Joseph |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1558676023 PECOS PAC ID: 7113145020 Enrollment ID: I20240227000090 |
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