| Dg4e Counseling & Coaching Empowerment Services Inc. | |
|
1755 N Brown Rd Suite 200 Lawrenceville GA 30043-8198 | |
| (678) 235-5912 | |
| (404) 443-0922 |
| Full Name | Dg4e Counseling & Coaching Empowerment Services Inc. |
|---|---|
| Speciality | Counselor - Professional |
| Location | 1755 N Brown Rd, Lawrenceville, Georgia |
| Authorized Official Name and Position | Shantreis Edwards (CEO/OWNER) |
| Authorized Official Contact | 6462516713 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dg4e Counseling & Coaching Empowerment Services Inc. 1755 N Brown Rd Suite 200 Lawrenceville GA 30043-8198 Ph: (678) 235-5912 | Dg4e Counseling & Coaching Empowerment Services Inc. 1755 N Brown Rd Suite 200 Lawrenceville GA 30043-8198 Ph: (678) 235-5912 |
| NPI Number | 1962857565 |
|---|---|
| Provider Enumeration Date | 05/02/2016 |
| Last Update Date | 05/02/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962857565 | NPI | - | NPPES |
| 1497140776 | Other | INDIVIDUAL NPI | |
| 003174271A | Medicaid | GA | |
| 13523914 | Other | CAQH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | LPC008467 (Georgia) | Primary |
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