| Enj Counseling, Llc | |
|
200 N Lewis St Lagrange GA 30240-2738 | |
| (706) 887-5787 | |
| (706) 780-5402 |
| Full Name | Enj Counseling, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 200 N Lewis St, Lagrange, Georgia |
| Authorized Official Name and Position | Emily Nanette Jackson (OWNER) |
| Authorized Official Contact | 7065943458 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Enj Counseling, Llc 371 Rosemont Rd Lagrange GA 30241-9544 Ph: (706) 594-3458 | Enj Counseling, Llc 200 N Lewis St Lagrange GA 30240-2738 Ph: (706) 887-5787 |
| NPI Number | 1902320542 |
|---|---|
| Provider Enumeration Date | 07/26/2017 |
| Last Update Date | 03/04/2020 |
| Certification Date | 03/04/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902320542 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | LPC006931 (Georgia) | Primary |
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