| Cognitive Behavioral Health Llc | |
|
5415 Thompson Mill Road Ste B Dr Devin Vicknair Hoschton GA 30548 | |
| (770) 827-2262 | |
| (770) 783-8927 |
| Full Name | Cognitive Behavioral Health Llc |
|---|---|
| Speciality | Counselor |
| Location | 5415 Thompson Mill Road Ste B, Hoschton, Georgia |
| Authorized Official Name and Position | Devin Vicknair (OWNER) |
| Authorized Official Contact | 7708272262 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cognitive Behavioral Health Llc 3004 Mill Grove Ter Dacula GA 30019-5019 Ph: () - | Cognitive Behavioral Health Llc 5415 Thompson Mill Road Ste B Dr Devin Vicknair Hoschton GA 30548 Ph: (770) 827-2262 |
| NPI Number | 1972635407 |
|---|---|
| Provider Enumeration Date | 03/10/2007 |
| Last Update Date | 05/28/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972635407 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | 003253 (Georgia) | Primary |
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