| Coastal Concierge Counseling, Llc | |
|
1 Marsh Haven Ln Savannah GA 31411-2718 | |
| (404) 304-4784 | |
| Not Available |
| Full Name | Coastal Concierge Counseling, Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 1 Marsh Haven Ln, Savannah, Georgia |
| Authorized Official Name and Position | Kimela M Boone (OWNER) |
| Authorized Official Contact | 4043044784 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Coastal Concierge Counseling, Llc 1 Marsh Haven Ln Savannah GA 31411-2718 Ph: (404) 304-4784 | Coastal Concierge Counseling, Llc 1 Marsh Haven Ln Savannah GA 31411-2718 Ph: (404) 304-4784 |
| NPI Number | 1750055067 |
|---|---|
| Provider Enumeration Date | 08/02/2021 |
| Last Update Date | 08/04/2021 |
| Certification Date | 08/04/2021 |
| Medicare PECOS PAC ID | 1153728167 |
|---|---|
| Medicare Enrollment ID | O20210917001257 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750055067 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Kimela M Boone |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588156418 PECOS PAC ID: 2062819071 Enrollment ID: I20210917001309 |
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