| Informed Group Enterprises Llc | |
|
8307 Office Park Dr Suite D/e Douglasville GA 30134-6935 | |
| (678) 315-2929 | |
| Not Available |
| Full Name | Informed Group Enterprises Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 8307 Office Park Dr, Douglasville, Georgia |
| Authorized Official Name and Position | Chris Raines (OWNER/CEO) |
| Authorized Official Contact | 7702985094 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Informed Group Enterprises Llc 8307 Office Park Dr Suite D/e Douglasville GA 30134-6935 Ph: (678) 315-2929 | Informed Group Enterprises Llc 8307 Office Park Dr Suite D/e Douglasville GA 30134-6935 Ph: (678) 315-2929 |
| NPI Number | 1649515826 |
|---|---|
| Provider Enumeration Date | 11/29/2012 |
| Last Update Date | 11/29/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649515826 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | LPC002580 (Georgia) | Primary |
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