| Landmark Counseling Llc | |
|
871 Seabreeze Lake Rd Buchanan GA 30113-4474 | |
| (909) 316-8813 | |
| (909) 751-1145 |
| Full Name | Landmark Counseling Llc |
|---|---|
| Speciality | Counselor |
| Location | 871 Seabreeze Lake Rd, Buchanan, Georgia |
| Authorized Official Name and Position | Tokunbo Tocee Shokunbi Harmon (CEO) |
| Authorized Official Contact | 4046106362 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Landmark Counseling Llc 871 Seabreeze Lake Rd Buchanan GA 30113-4474 Ph: (909) 316-8813 | Landmark Counseling Llc 871 Seabreeze Lake Rd Buchanan GA 30113-4474 Ph: (909) 316-8813 |
| NPI Number | 1699539304 |
|---|---|
| Provider Enumeration Date | 02/13/2024 |
| Last Update Date | 02/13/2024 |
| Certification Date | 02/13/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699539304 | NPI | - | NPPES |
| 1396415659 | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
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