| Jehovah Jireh Enterprises, Llc | |
|
5534 Old National Highway Suite 150e College Park GA 30349 | |
| (404) 993-1146 | |
| (678) 799-7651 |
| Full Name | Jehovah Jireh Enterprises, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 5534 Old National Highway, College Park, Georgia |
| Authorized Official Name and Position | Jacqueline Sweezer (OWNER CEO) |
| Authorized Official Contact | 4049931146 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jehovah Jireh Enterprises, Llc 5534 Old National Highway Suite 150e College Park GA 30349 Ph: (404) 993-1146 | Jehovah Jireh Enterprises, Llc 5534 Old National Highway Suite 150e College Park GA 30349 Ph: (404) 993-1146 |
| NPI Number | 1962540989 |
|---|---|
| Provider Enumeration Date | 02/02/2007 |
| Last Update Date | 06/06/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962540989 | NPI | - | NPPES |
| 000900809A | Medicaid | GA | |
| 000900809B | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | CSW002826 (Georgia) | Primary |
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