| Inspired Vision Counseling Llc | |
|
135 Goshen Road Ext Ste 112 Rincon GA 31326-5568 | |
| (912) 295-3365 | |
| (912) 205-3926 |
| Full Name | Inspired Vision Counseling Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 135 Goshen Road Ext Ste 112, Rincon, Georgia |
| Authorized Official Name and Position | Shanda Marie Mobley-taylor (OWNER/LICENSED PRACTITIONER) |
| Authorized Official Contact | 9126678806 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Inspired Vision Counseling Llc 100 Autumn Dr Rincon GA 31326-5675 Ph: (912) 667-8806 | Inspired Vision Counseling Llc 135 Goshen Road Ext Ste 112 Rincon GA 31326-5568 Ph: (912) 295-3365 |
| NPI Number | 1356071765 |
|---|---|
| Provider Enumeration Date | 06/16/2022 |
| Last Update Date | 12/19/2023 |
| Certification Date | 12/19/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356071765 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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