| Grace Behavioral Health & Wellness, Llc | |
|
145 Church St Ne Ste 285 Marietta GA 30060-0500 | |
| (404) 619-6955 | |
| Not Available |
| Full Name | Grace Behavioral Health & Wellness, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 145 Church St Ne Ste 285, Marietta, Georgia |
| Authorized Official Name and Position | Donna-jean Owens (THERAPIST) |
| Authorized Official Contact | 4046186955 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Grace Behavioral Health & Wellness, Llc 145 Church St Ne Ste 285 Marietta GA 30060-0500 Ph: (404) 619-6955 | Grace Behavioral Health & Wellness, Llc 145 Church St Ne Ste 285 Marietta GA 30060-0500 Ph: (404) 619-6955 |
| NPI Number | 1841734878 |
|---|---|
| Provider Enumeration Date | 12/09/2016 |
| Last Update Date | 12/09/2016 |
| Medicare PECOS PAC ID | 0547629602 |
|---|---|
| Medicare Enrollment ID | O20230707000396 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841734878 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | CSW003676 (Georgia) | Primary |
| Provider Name | Donna-jean Owens |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912267782 PECOS PAC ID: 1456710516 Enrollment ID: I20230707000579 |
| Provider Name | Malakeia Scott |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306216775 PECOS PAC ID: 3274973896 Enrollment ID: I20240430002914 |
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