Goat & Snowflake, Llc | |
3028 Brookwood Oak Ln Sw Lilburn GA 30047-8112 | |
(678) 458-7219 | |
Not Available |
Full Name | Goat & Snowflake, Llc |
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Speciality | Clinic/center - Adult Mental Health |
Location | 3028 Brookwood Oak Ln Sw, Lilburn, Georgia |
Authorized Official Name and Position | Tamara Steblez Ashley (PRESIDENT) |
Authorized Official Contact | 6784587219 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Goat & Snowflake, Llc 3028 Brookwood Oak Ln Sw Lilburn GA 30047-8112 Ph: (678) 458-7219 | Goat & Snowflake, Llc 3028 Brookwood Oak Ln Sw Lilburn GA 30047-8112 Ph: (678) 458-7219 |
NPI Number | 1154723534 |
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Provider Enumeration Date | 09/17/2014 |
Last Update Date | 09/17/2014 |
Identifier | Type | State | Issuer |
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1154723534 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0850X | Clinic/center - Adult Mental Health | LPC007878 (Georgia) | Primary |
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