| Ilisten, Llc | |
|
101 Blue Moon Xing Ste 3b173 Pooler GA 31322-9797 | |
| (912) 483-3344 | |
| (912) 888-8786 |
| Full Name | Ilisten, Llc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 101 Blue Moon Xing Ste 3b173, Pooler, Georgia |
| Authorized Official Name and Position | Rozetia M Richardson (MARRIAGE & FAMILY THERAPIST) |
| Authorized Official Contact | 9124833344 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ilisten, Llc 101 Blue Moon Xing Ste 3b173 Pooler GA 31322-9797 Ph: (912) 483-3344 | Ilisten, Llc 101 Blue Moon Xing Ste 3b173 Pooler GA 31322-9797 Ph: (912) 483-3344 |
| NPI Number | 1073131827 |
|---|---|
| Provider Enumeration Date | 07/08/2020 |
| Last Update Date | 08/27/2024 |
| Certification Date | 08/27/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073131827 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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