Esther Foundation | |
2365 Wall St Se Ste 200-05 Conyers GA 30013-2197 | |
(470) 441-5220 | |
Not Available |
Full Name | Esther Foundation |
---|---|
Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 2365 Wall St Se Ste 200-05, Conyers, Georgia |
Authorized Official Name and Position | Tyshawn Kingsberry (CEO) |
Authorized Official Contact | 4704415220 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Esther Foundation 375 Barshay Dr Covington GA 30016-0968 Ph: (470) 441-5220 | Esther Foundation 2365 Wall St Se Ste 200-05 Conyers GA 30013-2197 Ph: (470) 441-5220 |
NPI Number | 1417456898 |
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Provider Enumeration Date | 02/12/2018 |
Last Update Date | 06/11/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1417456898 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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