| Gina Parris Lmft, Llc | |
|
3383 Wolf Dr Gainesville GA 30506-1439 | |
| (770) 841-2926 | |
| (770) 874-9083 |
| Full Name | Gina Parris Lmft, Llc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 3383 Wolf Dr, Gainesville, Georgia |
| Authorized Official Name and Position | Gina Parris (OWNER) |
| Authorized Official Contact | 7708412926 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gina Parris Lmft, Llc 3383 Wolf Dr Gainesville GA 30506-1439 Ph: (770) 841-2926 | Gina Parris Lmft, Llc 3383 Wolf Dr Gainesville GA 30506-1439 Ph: (770) 841-2926 |
| NPI Number | 1831689744 |
|---|---|
| Provider Enumeration Date | 05/16/2018 |
| Last Update Date | 01/05/2021 |
| Certification Date | 01/05/2021 |
| Medicare PECOS PAC ID | 7113363698 |
|---|---|
| Medicare Enrollment ID | O20240306003206 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831689744 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | MFT000719 (Georgia) | Primary |
| Provider Name | Gina W Parris |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1619958865 PECOS PAC ID: 8022454503 Enrollment ID: I20240306003445 |
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