| Great Oak Counseling | |
|
3050 Atlanta Rd Se Smyrna GA 30080-8255 | |
| (248) 506-3137 | |
| Not Available |
| Full Name | Great Oak Counseling |
|---|---|
| Speciality | Social Worker |
| Location | 3050 Atlanta Rd Se, Smyrna, Georgia |
| Authorized Official Name and Position | Brenda Maureen Romanchik (CEO) |
| Authorized Official Contact | 2485063137 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Great Oak Counseling 3050 Atlanta Rd Se Smyrna GA 30080-8255 Ph: (248) 506-3137 | Great Oak Counseling 3050 Atlanta Rd Se Smyrna GA 30080-8255 Ph: (248) 506-3137 |
| NPI Number | 1639677636 |
|---|---|
| Provider Enumeration Date | 01/25/2018 |
| Last Update Date | 01/25/2018 |
| Medicare PECOS PAC ID | 2264897099 |
|---|---|
| Medicare Enrollment ID | O20230502000105 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639677636 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | CSW005336 (Georgia) | Primary |
| Provider Name | Brenda Maureen Romanchik |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912119017 PECOS PAC ID: 7315120300 Enrollment ID: I20230502000133 |
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