| Gmg Counseling, Llc | |
|
598 S Milledge Ave Suite 5 Athens GA 30605-1262 | |
| (706) 353-0709 | |
| Not Available |
| Full Name | Gmg Counseling, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 598 S Milledge Ave, Athens, Georgia |
| Authorized Official Name and Position | Gay M. Gragson (OWNER) |
| Authorized Official Contact | 7062483962 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gmg Counseling, Llc 1838 American Way Lawrenceville GA 30043-6611 Ph: (770) 995-7622 | Gmg Counseling, Llc 598 S Milledge Ave Suite 5 Athens GA 30605-1262 Ph: (706) 353-0709 |
| NPI Number | 1689042525 |
|---|---|
| Provider Enumeration Date | 09/09/2015 |
| Last Update Date | 01/22/2016 |
| Medicare PECOS PAC ID | 3072813351 |
|---|---|
| Medicare Enrollment ID | O20151119000043 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689042525 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | CSW005037 (Georgia) | Primary |
| Provider Name | Gay Gragson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447680996 PECOS PAC ID: 6709019805 Enrollment ID: I20140424002202 |
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