Hiawassee Counseling Clinic Llc | |
1114 Main Street Young Harris GA 30582 | |
(770) 296-5175 | |
Not Available |
Full Name | Hiawassee Counseling Clinic Llc |
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Speciality | Counselor |
Location | 1114 Main Street, Young Harris, Georgia |
Authorized Official Name and Position | Theresa Kinton (OWNER) |
Authorized Official Contact | 7702965175 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Hiawassee Counseling Clinic Llc 1114 Main Street Young Harris GA 30582 Ph: (770) 296-5175 | Hiawassee Counseling Clinic Llc 1114 Main Street Young Harris GA 30582 Ph: (770) 296-5175 |
NPI Number | 1982468906 |
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Provider Enumeration Date | 02/09/2024 |
Last Update Date | 02/09/2024 |
Certification Date | 02/08/2024 |
Medicare PECOS PAC ID | 1658710256 |
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Medicare Enrollment ID | O20240416000968 |
Identifier | Type | State | Issuer |
---|---|---|---|
1982468906 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
Provider Name | Theresa Marie Mayhew |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1356605760 PECOS PAC ID: 3476992074 Enrollment ID: I20240416001982 |
Georgia Mountains Community Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1100 Fuller Cir, Young Harris, GA 30582 Phone: 706-896-6263 | |
Mary Emma B Jones Phd Pc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 881 Upper Plott Town Road, Young Harris, GA 30582 Phone: 706-379-0909 Fax: 706-379-0975 | |
Stefanie Von Ohlen Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 757 Mining Gap Conn, Young Harris, GA 30582 Phone: 716-598-7473 Fax: 727-490-3921 |