| Georgia Counseling Inc | |
|
245 Country Club Dr Bldg 100a Stockbridge GA 30281 | |
| (470) 878-1359 | |
| (678) 272-8702 |
| Full Name | Georgia Counseling Inc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 245 Country Club Dr Bldg 100a, Stockbridge, Georgia |
| Authorized Official Name and Position | Tamika L. Summers (OWNER/CEO) |
| Authorized Official Contact | 4708781359 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Georgia Counseling Inc Po Box 1311 Mcdonough GA 30253 Ph: (470) 878-1359 | Georgia Counseling Inc 245 Country Club Dr Bldg 100a Stockbridge GA 30281 Ph: (470) 878-1359 |
| NPI Number | 1043677362 |
|---|---|
| Provider Enumeration Date | 01/17/2016 |
| Last Update Date | 12/11/2023 |
| Medicare PECOS PAC ID | 1456701135 |
|---|---|
| Medicare Enrollment ID | O20231220003435 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043677362 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | MFT001305 (Georgia) | Primary |
| Provider Name | Tamika Summers |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1972930105 PECOS PAC ID: 2365892049 Enrollment ID: I20231220003520 |
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