Lifetime Counseling | |
138 Park Ave Suite 214 Winder GA 30680-2118 | |
(678) 425-9007 | |
(678) 425-9009 |
Full Name | Lifetime Counseling |
---|---|
Speciality | Community/behavioral Health |
Location | 138 Park Ave, Winder, Georgia |
Authorized Official Name and Position | Timothy Brian Neville (OWNER / ORGANIZER) |
Authorized Official Contact | 6784259007 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Lifetime Counseling 138 Park Ave Suite 214 Winder GA 30680-2118 Ph: (678) 425-9007 | Lifetime Counseling 138 Park Ave Suite 214 Winder GA 30680-2118 Ph: (678) 425-9007 |
NPI Number | 1922430628 |
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Provider Enumeration Date | 08/05/2013 |
Last Update Date | 08/05/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1922430628 | NPI | - | NPPES |
003133270A | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | LPC006641 (Georgia) | Primary |
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