| Imagine Peace Counseling Llc | |
|
223 E 2nd Street Suite B Tifton GA 31794 | |
| (229) 339-3721 | |
| Not Available |
| Full Name | Imagine Peace Counseling Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 223 E 2nd Street, Tifton, Georgia |
| Authorized Official Name and Position | Christy Bell-withers (OWNER) |
| Authorized Official Contact | 9125200944 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Imagine Peace Counseling Llc 415 E Roger St Adel GA 31620 Ph: (912) 520-0944 | Imagine Peace Counseling Llc 223 E 2nd Street Suite B Tifton GA 31794 Ph: (229) 339-3721 |
| NPI Number | 1538606306 |
|---|---|
| Provider Enumeration Date | 01/31/2017 |
| Last Update Date | 01/31/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538606306 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | LPC009159 (Georgia) | Primary |
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