| Families Forward Llc | |
|
3711 Executive Center Dr Suite 101 Martinez GA 30907-0951 | |
| (706) 210-8855 | |
| (678) 541-7699 |
| Full Name | Families Forward Llc |
|---|---|
| Speciality | Psychologist - Clinical Child & Adolescent |
| Location | 3711 Executive Center Dr, Martinez, Georgia |
| Authorized Official Name and Position | Dara A Delancy (PSYCHOLOGIST) |
| Authorized Official Contact | 7062108855 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Families Forward Llc 3711 Executive Center Dr Suite 101 Martinez GA 30907-0951 Ph: (706) 210-8855 | Families Forward Llc 3711 Executive Center Dr Suite 101 Martinez GA 30907-0951 Ph: (706) 210-8855 |
| NPI Number | 1962750869 |
|---|---|
| Provider Enumeration Date | 08/27/2012 |
| Last Update Date | 11/07/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962750869 | NPI | - | NPPES |
| 447024026C | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC2200X | Psychologist - Clinical Child & Adolescent | PSY003096 (Georgia) | Primary |
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