| Loganville Community Ministry Village, Inc. | |
|
678 Tom Brewer Rd Loganville GA 30052-4005 | |
| (770) 554-3599 | |
| (770) 554-3514 |
| Full Name | Loganville Community Ministry Village, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 678 Tom Brewer Rd, Loganville, Georgia |
| Authorized Official Name and Position | Chet Allen Fowler (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7705543599 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Loganville Community Ministry Village, Inc. 678 Tom Brewer Rd Loganville GA 30052-4005 Ph: (770) 554-3599 | Loganville Community Ministry Village, Inc. 678 Tom Brewer Rd Loganville GA 30052-4005 Ph: (770) 554-3599 |
| NPI Number | 1124253679 |
|---|---|
| Provider Enumeration Date | 05/27/2009 |
| Last Update Date | 05/27/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124253679 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | LPC005585 (Georgia) | Primary |
The Focus Group Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1063 Creek Bottom Rd, Loganville, GA 30052 Phone: 770-596-8714 | |
Greater Change Health, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1237 Grande Vw, Loganville, GA 30052 Phone: 404-644-8553 | |
Total Family And Life Services, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 519 Harmonyview Ct, Loganville, GA 30052 Phone: 770-355-6073 Fax: 770-913-8027 | |
Healing Heart Moments, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 149 Lee Byrd Rd Ste 11, Loganville, GA 30052 Phone: 678-215-7236 | |
Mind Family & Social Services, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 153 Lee Byrd Rd # 3, Loganville, GA 30052 Phone: 708-897-7449 | |
Alcovy Neurology Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 3535 Highway 81, Loganville, GA 30052 Phone: 678-905-9625 Fax: 770-674-5880 |