| Looking Forward Counseling & Mentoring Services, Llc. | |
|
7742 Bucknell Ter Fairburn GA 30213-5508 | |
| (706) 339-7622 | |
| Not Available |
| Full Name | Looking Forward Counseling & Mentoring Services, Llc. |
|---|---|
| Speciality | Counselor |
| Location | 7742 Bucknell Ter, Fairburn, Georgia |
| Authorized Official Name and Position | Tamika Nicole England (FOUNDER/CLINICIAN) |
| Authorized Official Contact | 7063397622 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Looking Forward Counseling & Mentoring Services, Llc. 1029 N Peachtree Pkwy # 124 Peachtree City GA 30269-4210 Ph: (706) 339-7622 | Looking Forward Counseling & Mentoring Services, Llc. 7742 Bucknell Ter Fairburn GA 30213-5508 Ph: (706) 339-7622 |
| NPI Number | 1528623170 |
|---|---|
| Provider Enumeration Date | 05/08/2019 |
| Last Update Date | 05/08/2019 |
| Medicare PECOS PAC ID | 6709285729 |
|---|---|
| Medicare Enrollment ID | O20210525001299 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528623170 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Kyeda L King |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730662727 PECOS PAC ID: 8325447378 Enrollment ID: I20210525002154 |
| Provider Name | Tamika England |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1740531532 PECOS PAC ID: 5698174621 Enrollment ID: I20240119002727 |
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