| Counseling Of Central Georgia | |
|
1000 Corporate Pointe Ste 117 Warner Robins GA 31088-3440 | |
| (478) 396-4695 | |
| (478) 352-0018 |
| Full Name | Counseling Of Central Georgia |
|---|---|
| Speciality | Counselor |
| Location | 1000 Corporate Pointe Ste 117, Warner Robins, Georgia |
| Authorized Official Name and Position | Juanita Campell (OWNER) |
| Authorized Official Contact | 4783616851 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Counseling Of Central Georgia 1000 Corporate Pointe Ste 117 Warner Robins GA 31088-3440 Ph: (478) 396-4695 | Counseling Of Central Georgia 1000 Corporate Pointe Ste 117 Warner Robins GA 31088-3440 Ph: (478) 396-4695 |
| NPI Number | 1063056265 |
|---|---|
| Provider Enumeration Date | 10/30/2019 |
| Last Update Date | 10/31/2019 |
| Medicare PECOS PAC ID | 2860934478 |
|---|---|
| Medicare Enrollment ID | O20240611002982 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063056265 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Juanita Campbell |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1871946723 PECOS PAC ID: 3779025382 Enrollment ID: I20240611003367 |
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