| Graceol Counseling Center Inc | |
|
1035 Honey Creek Rd Se Conyers GA 30013-2948 | |
| (404) 839-2688 | |
| (770) 922-9498 |
| Full Name | Graceol Counseling Center Inc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1035 Honey Creek Rd Se, Conyers, Georgia |
| Authorized Official Name and Position | Yemi Joke Sowemimo (CEO) |
| Authorized Official Contact | 4048392688 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Graceol Counseling Center Inc 1035 Honey Creek Rd Se Conyers GA 30013-2948 Ph: (404) 839-2688 | Graceol Counseling Center Inc 1035 Honey Creek Rd Se Conyers GA 30013-2948 Ph: (404) 839-2688 |
| NPI Number | 1083124762 |
|---|---|
| Provider Enumeration Date | 10/06/2017 |
| Last Update Date | 06/16/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083124762 | NPI | - | NPPES |
| 1790107381 | Other | GA | NPI |
| 1912016411 | Other | NPI | |
| 1639177066 | Other | GA | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | RN229849 (Georgia) | Primary |
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