| Foothills Counseling Associates Inc. | |
|
105 Village Walk 180 C Dallas GA 30132-5504 | |
| (770) 826-5542 | |
| (866) 840-0590 |
| Full Name | Foothills Counseling Associates Inc. |
|---|---|
| Speciality | Counselor - Professional |
| Location | 105 Village Walk, Dallas, Georgia |
| Authorized Official Name and Position | Myke Mccormick (SECRETARY) |
| Authorized Official Contact | 7708265542 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Foothills Counseling Associates Inc. 105 Village Walk 180c Dallas GA 30132-5504 Ph: (770) 826-5542 | Foothills Counseling Associates Inc. 105 Village Walk 180 C Dallas GA 30132-5504 Ph: (770) 826-5542 |
| NPI Number | 1427256866 |
|---|---|
| Provider Enumeration Date | 07/06/2007 |
| Last Update Date | 08/20/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427256866 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | LPC003940 (Georgia) | Primary |
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