| Heritage Counseling, Inc | |
|
1009 N Columbia Ave Rincon GA 31329 | |
| (912) 657-9613 | |
| (912) 826-0233 |
| Full Name | Heritage Counseling, Inc |
|---|---|
| Speciality | Counselor |
| Location | 1009 N Columbia Ave, Rincon, Georgia |
| Authorized Official Name and Position | Tracey Pace (OWNER, COUNSELOR) |
| Authorized Official Contact | 9126579613 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Heritage Counseling, Inc 1009 N Columbia Ave Rincon GA 31329 Ph: (912) 657-9613 | Heritage Counseling, Inc 1009 N Columbia Ave Rincon GA 31329 Ph: (912) 657-9613 |
| NPI Number | 1821375593 |
|---|---|
| Provider Enumeration Date | 11/09/2011 |
| Last Update Date | 11/09/2011 |
| Medicare PECOS PAC ID | 1759674823 |
|---|---|
| Medicare Enrollment ID | O20160727000512 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821375593 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 3082 (Georgia) | Primary |
| Provider Name | Edward Wayne Minor |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386999399 PECOS PAC ID: 5597911800 Enrollment ID: I20120801000794 |
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