| Insideout Dynamics, Inc. | |
|
130 Governors Sq Ste A Fayetteville GA 30215-4862 | |
| (678) 364-1300 | |
| (678) 364-1352 |
| Full Name | Insideout Dynamics, Inc. |
|---|---|
| Speciality | Counselor - Professional |
| Location | 130 Governors Sq Ste A, Fayetteville, Georgia |
| Authorized Official Name and Position | Linda C Weigand (OWNER / PROFESSIONAL COUNSELOR) |
| Authorized Official Contact | 6783641300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Insideout Dynamics, Inc. 130 Governors Sq Ste A Fayetteville GA 30215-4862 Ph: (678) 364-1300 | Insideout Dynamics, Inc. 130 Governors Sq Ste A Fayetteville GA 30215-4862 Ph: (678) 364-1300 |
| NPI Number | 1952408213 |
|---|---|
| Provider Enumeration Date | 09/20/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952408213 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | LPC003094 (Georgia) | Primary |
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