| Indiglow Counseling | |
|
210 Washington St Nw Ste 200 Gainesville GA 30501-3656 | |
| (404) 643-4475 | |
| Not Available |
| Full Name | Indiglow Counseling |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 210 Washington St Nw Ste 200, Gainesville, Georgia |
| Authorized Official Name and Position | Chrystal Strickland (OWNER) |
| Authorized Official Contact | 4046434475 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Indiglow Counseling 210 Washington St Nw Ste 200 Gainesville GA 30501-3656 Ph: (404) 643-4475 | Indiglow Counseling 210 Washington St Nw Ste 200 Gainesville GA 30501-3656 Ph: (404) 643-4475 |
| NPI Number | 1215704267 |
|---|---|
| Provider Enumeration Date | 12/11/2023 |
| Last Update Date | 12/11/2023 |
| Certification Date | 12/10/2023 |
| Medicare PECOS PAC ID | 9739532615 |
|---|---|
| Medicare Enrollment ID | O20240126001923 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215704267 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Chrystal Strickland |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1720688682 PECOS PAC ID: 1557714433 Enrollment ID: I20240126002087 |
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