| Gold Coast Consulting Llc | |
|
101 Devant St Ste 503 Fayetteville GA 30214-2720 | |
| (770) 282-6962 | |
| (770) 282-6962 |
| Full Name | Gold Coast Consulting Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 101 Devant St Ste 503, Fayetteville, Georgia |
| Authorized Official Name and Position | Corey T Price (OWNER) |
| Authorized Official Contact | 6787099021 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gold Coast Consulting Llc 101 Devant St Ste 503 Fayetteville GA 30214-2720 Ph: (770) 282-6962 | Gold Coast Consulting Llc 101 Devant St Ste 503 Fayetteville GA 30214-2720 Ph: (770) 282-6962 |
| NPI Number | 1427788561 |
|---|---|
| Provider Enumeration Date | 06/13/2022 |
| Last Update Date | 06/13/2022 |
| Certification Date | 06/13/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427788561 | NPI | - | NPPES |
| 00000000000000000000 | Other | NOT APPLICABLE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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