F3 | |
5376 Jonesboro Rd Lake City GA 30260 | |
(404) 748-1102 | |
Not Available |
Full Name | F3 |
---|---|
Speciality | Community/behavioral Health |
Location | 5376 Jonesboro Rd, Lake City, Georgia |
Authorized Official Name and Position | Kimberly D Alexander (LICENSE PROFESSIONAL COUSELER) |
Authorized Official Contact | 4046256262 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
F3 5376 Jonesboro Rd Lake City GA 30260-3557 Ph: (404) 748-1102 | F3 5376 Jonesboro Rd Lake City GA 30260 Ph: (404) 748-1102 |
NPI Number | 1679067870 |
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Provider Enumeration Date | 06/20/2018 |
Last Update Date | 06/20/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1679067870 | NPI | - | NPPES |
1396092912 | Other | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
Cedar Tree Behavioral Health Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5588 Reynolds Rd, Lake City, GA 30260 Phone: 706-442-5929 |