Family Center For Mindfulness And Resiliency | |
848 Hiram Acworth Hwy Hiram GA 30141-2286 | |
(404) 769-3084 | |
Not Available |
Full Name | Family Center For Mindfulness And Resiliency |
---|---|
Speciality | Counselor |
Location | 848 Hiram Acworth Hwy, Hiram, Georgia |
Authorized Official Name and Position | Amanda Overdorff (ADMINISTRATOR) |
Authorized Official Contact | 4049831766 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Family Center For Mindfulness And Resiliency 1444 Wiltshire Cir Powder Springs GA 30127-1364 Ph: () - | Family Center For Mindfulness And Resiliency 848 Hiram Acworth Hwy Hiram GA 30141-2286 Ph: (404) 769-3084 |
NPI Number | 1235646134 |
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Provider Enumeration Date | 01/02/2018 |
Last Update Date | 01/02/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1235646134 | NPI | - | NPPES |
003107804B | Medicaid | GA | |
1316246044 | Other | GA | INDIVIDUAL NPI |
LPC006329 | Other | GA | GA STATE LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | LPC006329 (Georgia) | Primary |
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