Gentle Care Behavioral Health Pllc | |
320 Lanier Ave W Ste 200 Fayetteville GA 30214 | |
(404) 999-4726 | |
Not Available |
Full Name | Gentle Care Behavioral Health Pllc |
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Speciality | Clinic/center - Adult Mental Health |
Location | 320 Lanier Ave W, Fayetteville, Georgia |
Authorized Official Name and Position | Latoyia Jackson (PSYCHIATRIC NURSE PRACTITIONER) |
Authorized Official Contact | 4049994726 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Gentle Care Behavioral Health Pllc 320 Lanier Ave W Ste 200 Fayetteville GA 30214-7443 Ph: (404) 999-4726 | Gentle Care Behavioral Health Pllc 320 Lanier Ave W Ste 200 Fayetteville GA 30214 Ph: (404) 999-4726 |
NPI Number | 1407510878 |
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Provider Enumeration Date | 10/22/2021 |
Last Update Date | 11/12/2021 |
Certification Date | 10/26/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1407510878 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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