| Journey 4 Hope Counseling Center Llc | |
|
110 Evans Mill Dr Ste 306 Dallas GA 30157-1623 | |
| (404) 500-9177 | |
| (770) 783-6628 |
| Full Name | Journey 4 Hope Counseling Center Llc |
|---|---|
| Speciality | Social Worker |
| Location | 110 Evans Mill Dr Ste 306, Dallas, Georgia |
| Authorized Official Name and Position | Carol Huff (OWNER) |
| Authorized Official Contact | 4043163352 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Journey 4 Hope Counseling Center Llc 57 Jessel Ln Douglasville GA 30134-5901 Ph: () - | Journey 4 Hope Counseling Center Llc 110 Evans Mill Dr Ste 306 Dallas GA 30157-1623 Ph: (404) 500-9177 |
| NPI Number | 1154806057 |
|---|---|
| Provider Enumeration Date | 09/27/2018 |
| Last Update Date | 11/16/2022 |
| Certification Date | 11/16/2022 |
| Medicare PECOS PAC ID | 1850704438 |
|---|---|
| Medicare Enrollment ID | O20201229002119 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154806057 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Carol Huff |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316316169 PECOS PAC ID: 5092084434 Enrollment ID: I20170628002673 |
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