| Innervisions Counseling Services Llc | |
|
1275 Shiloh Rd Nw Suite 3030 Kennesaw GA 30144-7175 | |
| (678) 956-1760 | |
| Not Available |
| Full Name | Innervisions Counseling Services Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1275 Shiloh Rd Nw, Kennesaw, Georgia |
| Authorized Official Name and Position | Shondra Wilbanks (MEMBER) |
| Authorized Official Contact | 7708514641 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Innervisions Counseling Services Llc 524 Oakside Pl Acworth GA 30102-8811 Ph: (770) 851-4641 | Innervisions Counseling Services Llc 1275 Shiloh Rd Nw Suite 3030 Kennesaw GA 30144-7175 Ph: (678) 956-1760 |
| NPI Number | 1790222024 |
|---|---|
| Provider Enumeration Date | 01/24/2017 |
| Last Update Date | 01/24/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790222024 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | LPC007627 (Georgia) | Primary |
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