| Life Solutions Counseling Services, Llc | |
|
146 Pierce Ave Macon GA 31204-2871 | |
| (478) 796-2947 | |
| (478) 210-2170 |
| Full Name | Life Solutions Counseling Services, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 146 Pierce Ave, Macon, Georgia |
| Authorized Official Name and Position | Jacqueline Jackson (CLINICIAN) |
| Authorized Official Contact | 4787962947 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Life Solutions Counseling Services, Llc 146 Pierce Ave Macon GA 31204-2871 Ph: (478) 796-2947 | Life Solutions Counseling Services, Llc 146 Pierce Ave Macon GA 31204-2871 Ph: (478) 796-2947 |
| NPI Number | 1043857618 |
|---|---|
| Provider Enumeration Date | 12/03/2019 |
| Last Update Date | 01/12/2020 |
| Certification Date | 01/12/2020 |
| Medicare PECOS PAC ID | 2264867712 |
|---|---|
| Medicare Enrollment ID | O20200110002284 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043857618 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Jacqueline Mayes Jackson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639218480 PECOS PAC ID: 3274560362 Enrollment ID: I20050720000587 |
| Provider Name | Noell Andrews |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912627381 PECOS PAC ID: 5597140707 Enrollment ID: I20220923000386 |
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