| Family Support Group Inc | |
|
139 Boulder View Pkwy Dallas GA 30157-2311 | |
| (919) 539-4212 | |
| (678) 609-5608 |
| Full Name | Family Support Group Inc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 139 Boulder View Pkwy, Dallas, Georgia |
| Authorized Official Name and Position | Tonya Simmons (DIRECTOR) |
| Authorized Official Contact | 9195394212 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Support Group Inc 5917 Wessel Way Raleigh NC 27610-4260 Ph: (919) 539-4212 | Family Support Group Inc 139 Boulder View Pkwy Dallas GA 30157-2311 Ph: (919) 539-4212 |
| NPI Number | 1124488283 |
|---|---|
| Provider Enumeration Date | 03/02/2016 |
| Last Update Date | 03/02/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124488283 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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