| Jennifer Boone, Lcsw Llc | |
|
1 Huntington Rd Ste 703 Athens GA 30606-7214 | |
| (706) 425-8900 | |
| (706) 425-8600 |
| Full Name | Jennifer Boone, Lcsw Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1 Huntington Rd Ste 703, Athens, Georgia |
| Authorized Official Name and Position | Jennifer Boone (OWNER) |
| Authorized Official Contact | 7064258900 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Boone, Lcsw Llc 1 Huntington Rd Ste 703 Athens GA 30606-7214 Ph: (706) 425-8900 | Jennifer Boone, Lcsw Llc 1 Huntington Rd Ste 703 Athens GA 30606-7214 Ph: (706) 425-8900 |
| NPI Number | 1588287213 |
|---|---|
| Provider Enumeration Date | 05/28/2020 |
| Last Update Date | 05/28/2020 |
| Certification Date | 05/28/2020 |
| Medicare PECOS PAC ID | 0547660003 |
|---|---|
| Medicare Enrollment ID | O20210621002403 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588287213 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Jennifer R Boone |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366637597 PECOS PAC ID: 1456303155 Enrollment ID: I20071107000199 |
Holistic Therapies & Consulting Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1 Huntington Rd Ste 105, Athens, GA 30606 Phone: 888-307-2780 | |
Providence Counseling & Consulting, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 500 N Milledge Ave, Suite 200, Athens, GA 30601 Phone: 404-784-2585 Fax: 844-878-9987 | |
Physicians South Neurology Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 740 Prince Ave, Bldg #9, Athens, GA 30606 Phone: 706-369-5084 Fax: 706-369-5099 | |
Athens Neurological Associates, P.c Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1086 1/2 Baxter St, Athens, GA 30606 Phone: 706-353-0606 Fax: 706-353-0798 | |
Renewal Counseling & Consulting, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 598 S Milledge Ave, Suite 2, Athens, GA 30605 Phone: 706-424-5888 Fax: 706-543-5511 | |
Healing Space Of Athens Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1 Huntington Rd Ste 703, Athens, GA 30606 Phone: 706-425-8900 | |
Stephine W Smith Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1 Huntington Rd Ste 703, Athens, GA 30606 Phone: 706-425-8900 |