| Edge Of Hope Llc | |
|
1040 Pine Valley Rd Sparta GA 31087-7187 | |
| (830) 285-4538 | |
| Not Available |
| Full Name | Edge Of Hope Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1040 Pine Valley Rd, Sparta, Georgia |
| Authorized Official Name and Position | Shawn Edgington (OWNER) |
| Authorized Official Contact | 8302854538 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Edge Of Hope Llc 1040 Pine Valley Rd Sparta GA 31087-7187 Ph: (830) 285-4538 | Edge Of Hope Llc 1040 Pine Valley Rd Sparta GA 31087-7187 Ph: (830) 285-4538 |
| NPI Number | 1578332961 |
|---|---|
| Provider Enumeration Date | 12/27/2023 |
| Last Update Date | 12/27/2023 |
| Certification Date | 12/27/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578332961 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Oconee Rehabilitation Services Inc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 446 Spring Street, Sparta, GA 31087 Phone: 706-444-9200 Fax: 706-444-9201 | |
New Beginning Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 75 Boland Cir, Sparta, GA 31087 Phone: 706-444-1037 Fax: 706-444-1034 |