| Groundbreaking Guidance Services, Llc | |
|
500 Sun Valley Dr Ste G3 Roswell GA 30076-5639 | |
| (770) 910-9162 | |
| (770) 910-9768 |
| Full Name | Groundbreaking Guidance Services, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 500 Sun Valley Dr Ste G3, Roswell, Georgia |
| Authorized Official Name and Position | Eboni R. Meeks (OWNER/CLINICIAN) |
| Authorized Official Contact | 7709109162 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Groundbreaking Guidance Services, Llc 500 Sun Valley Dr Ste G3 Roswell GA 30076-5639 Ph: (770) 910-9162 | Groundbreaking Guidance Services, Llc 500 Sun Valley Dr Ste G3 Roswell GA 30076-5639 Ph: (770) 910-9162 |
| NPI Number | 1194330449 |
|---|---|
| Provider Enumeration Date | 09/14/2020 |
| Last Update Date | 09/16/2020 |
| Certification Date | 09/16/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194330449 | NPI | - | NPPES |
| 1184963357 | Other | GA | PRIVATE INSURANCE |
| 1184963357 | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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