| Heartlight Counseling Agency Llc | |
|
4251 N Braves Cir Douglasville GA 30135-4304 | |
| (313) 477-6323 | |
| Not Available |
| Full Name | Heartlight Counseling Agency Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 4251 N Braves Cir, Douglasville, Georgia |
| Authorized Official Name and Position | Debra J Vereen (COUNSELOR) |
| Authorized Official Contact | 3134776323 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Heartlight Counseling Agency Llc 4251 N Braves Cir Douglasville GA 30135-4304 Ph: (313) 477-6323 | Heartlight Counseling Agency Llc 4251 N Braves Cir Douglasville GA 30135-4304 Ph: (313) 477-6323 |
| NPI Number | 1629698022 |
|---|---|
| Provider Enumeration Date | 04/26/2020 |
| Last Update Date | 04/26/2020 |
| Certification Date | 04/26/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629698022 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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