| Connect 4 Behavioral Solutions, Llc | |
|
1800 Lake Park Dr Se Ste 102 Smyrna GA 30080-7639 | |
| (678) 899-5871 | |
| Not Available |
| Full Name | Connect 4 Behavioral Solutions, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 1800 Lake Park Dr Se Ste 102, Smyrna, Georgia |
| Authorized Official Name and Position | Lamonica D Green (PRESIDENT) |
| Authorized Official Contact | 6788995871 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Connect 4 Behavioral Solutions, Llc 200 River Vista Dr Unit 341 Atlanta GA 30339-7612 Ph: (678) 899-5871 | Connect 4 Behavioral Solutions, Llc 1800 Lake Park Dr Se Ste 102 Smyrna GA 30080-7639 Ph: (678) 899-5871 |
| NPI Number | 1275012163 |
|---|---|
| Provider Enumeration Date | 08/10/2018 |
| Last Update Date | 08/10/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275012163 | NPI | - | NPPES |
| 003204162A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | LPC009818 (Georgia) | Primary |
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