| Lauri Shedd Therapy Services Llc | |
|
1325 S Park St # 1003 Carrollton GA 30117-4433 | |
| (314) 882-0282 | |
| (470) 870-8544 |
| Full Name | Lauri Shedd Therapy Services Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1325 S Park St # 1003, Carrollton, Georgia |
| Authorized Official Name and Position | Lauri Shedd (OWNER) |
| Authorized Official Contact | 3148820282 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lauri Shedd Therapy Services Llc 1325 S Park St # 1003 Carrollton GA 30117-4433 Ph: (314) 882-0282 | Lauri Shedd Therapy Services Llc 1325 S Park St # 1003 Carrollton GA 30117-4433 Ph: (314) 882-0282 |
| NPI Number | 1093285124 |
|---|---|
| Provider Enumeration Date | 12/02/2018 |
| Last Update Date | 10/31/2023 |
| Certification Date | 10/31/2023 |
| Medicare PECOS PAC ID | 2163769944 |
|---|---|
| Medicare Enrollment ID | O20230120002640 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093285124 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| Provider Name | Lauri Ann Shedd |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285183483 PECOS PAC ID: 3072850858 Enrollment ID: I20230122000024 |
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