| Cool Program Counseling Services, Llc | |
|
1115 Mount Zion Rd Ste 18b Morrow GA 30260-2275 | |
| (404) 964-2818 | |
| (678) 868-9433 |
| Full Name | Cool Program Counseling Services, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1115 Mount Zion Rd Ste 18b, Morrow, Georgia |
| Authorized Official Name and Position | Robert Hendrix (CEO / PROGRAM MANAGER) |
| Authorized Official Contact | 4049642818 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cool Program Counseling Services, Llc 1115 Mount Zion Rd Ste 18b Morrow GA 30260-2275 Ph: (404) 964-2818 | Cool Program Counseling Services, Llc 1115 Mount Zion Rd Ste 18b Morrow GA 30260-2275 Ph: (404) 964-2818 |
| NPI Number | 1366019994 |
|---|---|
| Provider Enumeration Date | 06/10/2021 |
| Last Update Date | 06/10/2021 |
| Certification Date | 06/10/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366019994 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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