| Community Psychotherapy And Addiction Counseling, Llc | |
|
341 Margie Dr Ste 3a Warner Robins GA 31088 | |
| (478) 832-9442 | |
| (229) 299-0993 |
| Full Name | Community Psychotherapy And Addiction Counseling, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 341 Margie Dr Ste 3a, Warner Robins, Georgia |
| Authorized Official Name and Position | Lee R Chambers (OWNER) |
| Authorized Official Contact | 4788329442 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Psychotherapy And Addiction Counseling, Llc 401 Obrien Dr Kathleen GA 31047-5351 Ph: (478) 832-9442 | Community Psychotherapy And Addiction Counseling, Llc 341 Margie Dr Ste 3a Warner Robins GA 31088 Ph: (478) 832-9442 |
| NPI Number | 1508304932 |
|---|---|
| Provider Enumeration Date | 02/06/2017 |
| Last Update Date | 09/04/2019 |
| Medicare PECOS PAC ID | 9638456353 |
|---|---|
| Medicare Enrollment ID | O20170508000687 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508304932 | NPI | - | NPPES |
| 003177727E | Medicaid | GA | |
| 9453675 | Other | GA | AETNA |
| 4658124 | Other | GA | CIGNA |
| Provider Name | Lee R Chambers |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619306867 PECOS PAC ID: 7416183207 Enrollment ID: I20131127000553 |
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