Magill Psychotherapy, Llc | |
2011 Commerce Dr N D106 Peachtree City GA 30269-3538 | |
(404) 953-5279 | |
Not Available |
Full Name | Magill Psychotherapy, Llc |
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Speciality | Community/Behavioral Health |
Location | 2011 Commerce Dr N, Peachtree City, Georgia |
Authorized Official Name and Position | Kara Magill (OWNER) |
Authorized Official Contact | 4049535279 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Magill Psychotherapy, Llc 2011 Commerce Dr N D106 Peachtree City GA 30269-3538 Ph: () - | Magill Psychotherapy, Llc 2011 Commerce Dr N D106 Peachtree City GA 30269-3538 Ph: (404) 953-5279 |
NPI Number | 1770904369 |
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Provider Enumeration Date | 12/26/2013 |
Last Update Date | 12/26/2013 |
Medicare PECOS PAC ID | 7911122627 |
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Medicare Enrollment ID | O20140711001908 |
Identifier | Type | State | Issuer |
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1770904369 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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251S00000X | Community/behavioral Health | CSW04551 (Georgia) | Primary |
Provider Name | Kara M Magill |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1184995706 PECOS PAC ID: 1254596653 Enrollment ID: I20120710000756 |
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