| Imogene Hayes Brodsky Lcsw Llc | |
|
4919 Marlos Dr Ne Marietta GA 30066-6919 | |
| (678) 993-3767 | |
| Not Available |
| Full Name | Imogene Hayes Brodsky Lcsw Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 4919 Marlos Dr Ne, Marietta, Georgia |
| Authorized Official Name and Position | Imogene Brodsky (OWNER) |
| Authorized Official Contact | 6789933767 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Imogene Hayes Brodsky Lcsw Llc 4919 Marlos Dr Ne Marietta GA 30066-6919 Ph: (678) 993-3767 | Imogene Hayes Brodsky Lcsw Llc 4919 Marlos Dr Ne Marietta GA 30066-6919 Ph: (678) 993-3767 |
| NPI Number | 1972359537 |
|---|---|
| Provider Enumeration Date | 04/25/2024 |
| Last Update Date | 04/25/2024 |
| Certification Date | 04/25/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972359537 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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