| Julie Homrich Llc | |
|
1400 Buford Hwy Ste D1 Buford GA 30518-8722 | |
| (770) 540-3132 | |
| Not Available |
| Full Name | Julie Homrich Llc |
|---|---|
| Speciality | Counselor |
| Location | 1400 Buford Hwy Ste D1, Buford, Georgia |
| Authorized Official Name and Position | Julie Homrich (DIRECTOR) |
| Authorized Official Contact | 7063462138 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Julie Homrich Llc 1400 Buford Hwy Ste D1 Buford GA 30518-8722 Ph: (770) 540-3132 | Julie Homrich Llc 1400 Buford Hwy Ste D1 Buford GA 30518-8722 Ph: (770) 540-3132 |
| NPI Number | 1225671829 |
|---|---|
| Provider Enumeration Date | 10/26/2019 |
| Last Update Date | 10/26/2019 |
| Medicare PECOS PAC ID | 1153773825 |
|---|---|
| Medicare Enrollment ID | O20240118000492 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225671829 | NPI | - | NPPES |
| 1285196683 | Other | GA | INDIVIDUAL NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Julie Homrich |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1285196683 PECOS PAC ID: 3971955642 Enrollment ID: I20240118000611 |
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