| Hope 12 : 12 Llc | |
|
1560 Wynridge Pointe Alpharetta GA 30005-3806 | |
| (770) 500-0891 | |
| Not Available |
| Full Name | Hope 12 : 12 Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 1560 Wynridge Pointe, Alpharetta, Georgia |
| Authorized Official Name and Position | Zach Henderson (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 7705000891 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hope 12 : 12 Llc 1560 Wynridge Pointe Alpharetta GA 30005-3806 Ph: (770) 500-0891 | Hope 12 : 12 Llc 1560 Wynridge Pointe Alpharetta GA 30005-3806 Ph: (770) 500-0891 |
| NPI Number | 1124879853 |
|---|---|
| Provider Enumeration Date | 03/29/2024 |
| Last Update Date | 09/13/2024 |
| Certification Date | 09/13/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124879853 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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