Deaf Multicultural Counseling Limited Liability Company | |
1901 Rosewood Rd Decatur GA 30032-7017 | |
(470) 763-5282 | |
Not Available |
Full Name | Deaf Multicultural Counseling Limited Liability Company |
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Speciality | Social Worker |
Location | 1901 Rosewood Rd, Decatur, Georgia |
Authorized Official Name and Position | Makoto Ikegami (OWNER/PSYCHOTHERAPIST) |
Authorized Official Contact | 4707635282 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Deaf Multicultural Counseling Limited Liability Company 1901 Rosewood Rd Decatur GA 30032-7017 Ph: (470) 763-5282 | Deaf Multicultural Counseling Limited Liability Company 1901 Rosewood Rd Decatur GA 30032-7017 Ph: (470) 763-5282 |
NPI Number | 1790552404 |
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Provider Enumeration Date | 12/04/2023 |
Last Update Date | 03/12/2024 |
Certification Date | 03/12/2024 |
Medicare PECOS PAC ID | 1153774450 |
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Medicare Enrollment ID | O20240206001235 |
Identifier | Type | State | Issuer |
---|---|---|---|
1790552404 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Provider Name | Makoto Ikegami |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1932473113 PECOS PAC ID: 8325459621 Enrollment ID: I20230320001621 |
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