| Fresh Hope Counseling Center, Llc | |
|
4147 Flat Shoals Pkwy Decatur GA 30034-4106 | |
| (334) 663-6481 | |
| Not Available |
| Full Name | Fresh Hope Counseling Center, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 4147 Flat Shoals Pkwy, Decatur, Georgia |
| Authorized Official Name and Position | Lakeba Hibbler Williams (OWNER/DIRECTOR) |
| Authorized Official Contact | 3346636481 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fresh Hope Counseling Center, Llc Po Box 361527 Decatur GA 30036-1527 Ph: () - | Fresh Hope Counseling Center, Llc 4147 Flat Shoals Pkwy Decatur GA 30034-4106 Ph: (334) 663-6481 |
| NPI Number | 1194371666 |
|---|---|
| Provider Enumeration Date | 08/12/2019 |
| Last Update Date | 08/12/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194371666 | NPI | - | NPPES |
| 1033472642 | Medicaid | AL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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