| Family Solutions And Consultation Services, Llc | |
|
3013 Rainbow Dr Ste 200g Decatur GA 30034-1644 | |
| (404) 573-8151 | |
| (855) 873-6036 |
| Full Name | Family Solutions And Consultation Services, Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 3013 Rainbow Dr Ste 200g, Decatur, Georgia |
| Authorized Official Name and Position | Nina Kitchen (OWNER) |
| Authorized Official Contact | 4045738151 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Solutions And Consultation Services, Llc 3013 Rainbow Dr Ste 200g Decatur GA 30034-1644 Ph: (404) 573-8151 | Family Solutions And Consultation Services, Llc 3013 Rainbow Dr Ste 200g Decatur GA 30034-1644 Ph: (404) 573-8151 |
| NPI Number | 1336559343 |
|---|---|
| Provider Enumeration Date | 04/29/2014 |
| Last Update Date | 04/29/2014 |
| Medicare PECOS PAC ID | 2163648619 |
|---|---|
| Medicare Enrollment ID | O20140718002001 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336559343 | NPI | - | NPPES |
| 003136763A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | CSW001493 (Georgia) | Primary |
| Provider Name | Nina L Kitchen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750691358 PECOS PAC ID: 9335184100 Enrollment ID: I20050622000634 |
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