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48 Haralson Pl Suite 3 Blairsville GA 30512-3087 | |
| (706) 781-2661 | |
| (706) 781-2661 |
| Full Name | |
|---|---|
| Speciality | Counselor - Professional |
| Location | 48 Haralson Pl, Blairsville, Georgia |
| Authorized Official Name and Position | Linda Ellis (LICENSED COUNSELOR) |
| Authorized Official Contact | 7067812661 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
255 Stable Gate Dr Blairsville GA 30512-8062 Ph: (706) 781-2661 | 48 Haralson Pl Suite 3 Blairsville GA 30512-3087 Ph: (706) 781-2661 |
| NPI Number | 1124440367 |
|---|---|
| Provider Enumeration Date | 01/07/2014 |
| Last Update Date | 01/07/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124440367 | NPI | - | NPPES |
| 731631000 | Other | MAGELLAN | |
| 033901 | Other | VALUE OPTIONS | |
| 084833 | Other | MHN | |
| 1151965 | Other | CAQH | |
| 694416721-A | Medicaid | GA | |
| 033901 | Other | TRICARE | |
| 52492483-001 | Other | GA | BCBSGA |
| 289514654 | Other | UNITED BEHAVIORAL HEALTH | |
| 6838713 | Other | CIGNA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 1578 (Georgia) | Primary |
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