| Healthy Life Choices, Llc | |
|
910 N Hairston Rd Stone Mountain GA 30083-2802 | |
| (404) 484-0180 | |
| (404) 448-3175 |
| Full Name | Healthy Life Choices, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 910 N Hairston Rd, Stone Mountain, Georgia |
| Authorized Official Name and Position | Treva Jones (CLINICAL DIRECTOR) |
| Authorized Official Contact | 4048352565 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Healthy Life Choices, Llc 910 N Hairston Rd Stone Mountain GA 30083-2802 Ph: (404) 484-0180 | Healthy Life Choices, Llc 910 N Hairston Rd Stone Mountain GA 30083-2802 Ph: (404) 484-0180 |
| NPI Number | 1295223626 |
|---|---|
| Provider Enumeration Date | 05/01/2018 |
| Last Update Date | 12/04/2023 |
| Certification Date | 12/04/2023 |
| Medicare PECOS PAC ID | 9133472913 |
|---|---|
| Medicare Enrollment ID | O20181024001605 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295223626 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | CSW006393 (Georgia) | Primary |
| Provider Name | Treva G. Jones |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568863702 PECOS PAC ID: 3476806258 Enrollment ID: I20181029000265 |
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