| Growth And Guidance Counseling | |
|
2995 Old Peachtree Rd Apt 430 Dacula GA 30019-2285 | |
| (470) 893-3593 | |
| (678) 691-4366 |
| Full Name | Growth And Guidance Counseling |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 2995 Old Peachtree Rd Apt 430, Dacula, Georgia |
| Authorized Official Name and Position | Portia Ileene Grimes (MENTAL HEALTH COUNSELOR) |
| Authorized Official Contact | 4709393593 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Growth And Guidance Counseling 2995 Old Peachtree Rd Apt 430 Dacula GA 30019-2285 Ph: (470) 893-3593 | Growth And Guidance Counseling 2995 Old Peachtree Rd Apt 430 Dacula GA 30019-2285 Ph: (470) 893-3593 |
| NPI Number | 1720587579 |
|---|---|
| Provider Enumeration Date | 02/07/2018 |
| Last Update Date | 10/04/2023 |
| Certification Date | 07/26/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720587579 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 6401013318 (Michigan) | Primary |
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