| Griner Counseling, Llc | |
|
200 Will Rd Moultrie GA 31768-7999 | |
| (912) 294-7961 | |
| Not Available |
| Full Name | Griner Counseling, Llc |
|---|---|
| Speciality | Counselor |
| Location | 200 Will Rd, Moultrie, Georgia |
| Authorized Official Name and Position | Kasey Griner (OWNER) |
| Authorized Official Contact | 9122947961 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Griner Counseling, Llc 200 Will Rd Moultrie GA 31768-7999 Ph: (912) 294-7961 | Griner Counseling, Llc 200 Will Rd Moultrie GA 31768-7999 Ph: (912) 294-7961 |
| NPI Number | 1134800691 |
|---|---|
| Provider Enumeration Date | 07/27/2023 |
| Last Update Date | 07/27/2023 |
| Certification Date | 07/27/2023 |
| Medicare PECOS PAC ID | 1456708775 |
|---|---|
| Medicare Enrollment ID | O20231108002051 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134800691 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Kasey Knight Griner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508524109 PECOS PAC ID: 2668842568 Enrollment ID: I20230111001233 |
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