| Kecia West Llc | |
|
1285 Marks Church Rd Ste F Augusta GA 30909-2472 | |
| (404) 769-8771 | |
| Not Available |
| Full Name | Kecia West Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 1285 Marks Church Rd Ste F, Augusta, Georgia |
| Authorized Official Name and Position | Kecia West (CEO) |
| Authorized Official Contact | 7065305397 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kecia West Llc 2566 Shallowford Rd Ne Ste 104-118 Atlanta GA 30345-1249 Ph: (706) 530-5397 | Kecia West Llc 1285 Marks Church Rd Ste F Augusta GA 30909-2472 Ph: (404) 769-8771 |
| NPI Number | 1164158531 |
|---|---|
| Provider Enumeration Date | 07/28/2022 |
| Last Update Date | 07/28/2022 |
| Certification Date | 07/28/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164158531 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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