| Gwinnett Family Guidance Center | |
|
6045 Atlantic Blvd. Suite 218 Norcross GA 30071-1334 | |
| (770) 449-0815 | |
| (770) 449-5759 |
| Full Name | Gwinnett Family Guidance Center |
|---|---|
| Speciality | Social Worker |
| Location | 6045 Atlantic Blvd., Norcross, Georgia |
| Authorized Official Name and Position | Loretta Ann Steurer (OWNER) |
| Authorized Official Contact | 7704490815 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gwinnett Family Guidance Center P.o. Box 562 Norcross GA 30091-0562 Ph: (770) 449-0815 | Gwinnett Family Guidance Center 6045 Atlantic Blvd. Suite 218 Norcross GA 30071-1334 Ph: (770) 449-0815 |
| NPI Number | 1215114327 |
|---|---|
| Provider Enumeration Date | 01/31/2008 |
| Last Update Date | 03/21/2022 |
| Certification Date | 03/21/2022 |
| Medicare PECOS PAC ID | 9234127721 |
|---|---|
| Medicare Enrollment ID | O20040504000418 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215114327 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 000556LCSW (Georgia) | Primary |
| 106H00000X | Marriage & Family Therapist | 000476LMFT (Georgia) | Secondary |
| Provider Name | Loretta A Steurer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013053131 PECOS PAC ID: 9931393600 Enrollment ID: I20101027000765 |
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