Manifested Destiny Counseling | |
179 Handley Rd Ste D6 Tyrone GA 30290-2152 | |
(404) 819-4295 | |
Not Available |
Full Name | Manifested Destiny Counseling |
---|---|
Speciality | Counselor - Professional |
Location | 179 Handley Rd Ste D6, Tyrone, Georgia |
Authorized Official Name and Position | Pamela Elder (OWNER) |
Authorized Official Contact | 6786820415 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Manifested Destiny Counseling 120 Longmeadow Ct Fayetteville GA 30214-5373 Ph: (404) 819-4295 | Manifested Destiny Counseling 179 Handley Rd Ste D6 Tyrone GA 30290-2152 Ph: (404) 819-4295 |
NPI Number | 1215521687 |
---|---|
Provider Enumeration Date | 02/25/2021 |
Last Update Date | 02/25/2021 |
Certification Date | 02/25/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1215521687 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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