| Clinch C&a | |
|
551 Old Pearson Rd Homerville GA 31634-1724 | |
| (912) 449-7109 | |
| (912) 449-7056 |
| Full Name | Clinch C&a |
|---|---|
| Speciality | Counselor |
| Location | 551 Old Pearson Rd, Homerville, Georgia |
| Authorized Official Name and Position | Glyn Thomas (CEO) |
| Authorized Official Contact | 9124497103 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Clinch C&a 1007 Mary St Waycross GA 31503-3823 Ph: (912) 449-7109 | Clinch C&a 551 Old Pearson Rd Homerville GA 31634-1724 Ph: (912) 449-7109 |
| NPI Number | 1427368539 |
|---|---|
| Provider Enumeration Date | 10/08/2010 |
| Last Update Date | 10/05/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427368539 | NPI | - | NPPES |
| 000606295H | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
Angela Dorsey Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 181 Happyville Ln, Homerville, GA 31634 Phone: 912-487-3129 Fax: 912-449-7060 |