Gracepoint Counseling Associates, Llc | |
620 Hillcrest Rd Nw Suite 300 Lilburn GA 30047-6892 | |
(770) 638-1577 | |
Not Available |
Full Name | Gracepoint Counseling Associates, Llc |
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Speciality | Psychologist - Clinical |
Location | 620 Hillcrest Rd Nw, Lilburn, Georgia |
Authorized Official Name and Position | Michael J. Brissett (MEMBER) |
Authorized Official Contact | 7706381577 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Gracepoint Counseling Associates, Llc 620 Hillcrest Rd Nw Suite 300 Lilburn GA 30047-6892 Ph: (770) 638-1577 | Gracepoint Counseling Associates, Llc 620 Hillcrest Rd Nw Suite 300 Lilburn GA 30047-6892 Ph: (770) 638-1577 |
NPI Number | 1487705091 |
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Provider Enumeration Date | 01/12/2007 |
Last Update Date | 11/29/2011 |
Identifier | Type | State | Issuer |
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1487705091 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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103TC0700X | Psychologist - Clinical | 558 AND 1823 (Georgia) | Primary |
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