| Interlinked Counseling And Consulting Llc | |
|
1253 Commercial Dr Sw Ste A Conyers GA 30094-5987 | |
| (770) 285-6049 | |
| Not Available |
| Full Name | Interlinked Counseling And Consulting Llc |
|---|---|
| Speciality | Counselor |
| Location | 1253 Commercial Dr Sw Ste A, Conyers, Georgia |
| Authorized Official Name and Position | D'anthony T Harris (CEO/OWNER) |
| Authorized Official Contact | 4789184040 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Interlinked Counseling And Consulting Llc 204 Dupont Ct Mcdonough GA 30252-5844 Ph: (478) 918-4040 | Interlinked Counseling And Consulting Llc 1253 Commercial Dr Sw Ste A Conyers GA 30094-5987 Ph: (770) 285-6049 |
| NPI Number | 1093474751 |
|---|---|
| Provider Enumeration Date | 12/09/2021 |
| Last Update Date | 11/15/2022 |
| Certification Date | 11/15/2022 |
| Medicare PECOS PAC ID | 6800275520 |
|---|---|
| Medicare Enrollment ID | O20220625000563 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093474751 | NPI | - | NPPES |
| Provider Name | Shamika Diane Cooley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710427885 PECOS PAC ID: 5890034169 Enrollment ID: I20190304001941 |
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