| Helping To Heal Counseling Services Llc | |
|
4405 Mall Blvd Ste 415 Union City GA 30291-2044 | |
| (770) 824-8822 | |
| Not Available |
| Full Name | Helping To Heal Counseling Services Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 4405 Mall Blvd Ste 415, Union City, Georgia |
| Authorized Official Name and Position | Myra Brown (CLINICAL DIRECTOR) |
| Authorized Official Contact | 4044003681 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Helping To Heal Counseling Services Llc 3255 Lawrenceville Suwanee Rd Ste P559 Suwanee GA 30024-6540 Ph: () - | Helping To Heal Counseling Services Llc 4405 Mall Blvd Ste 415 Union City GA 30291-2044 Ph: (770) 824-8822 |
| NPI Number | 1922752526 |
|---|---|
| Provider Enumeration Date | 02/11/2022 |
| Last Update Date | 11/02/2023 |
| Certification Date | 11/02/2023 |
| Medicare PECOS PAC ID | 6305298498 |
|---|---|
| Medicare Enrollment ID | O20240112004113 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922752526 | NPI | - | NPPES |
| 003264280A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Myra Brown |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1831606508 PECOS PAC ID: 0840642930 Enrollment ID: I20240112004136 |
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