| Marie Stone Counseling, Llc | |
|
1300 Ridenour Blvd Nw Ste 253 Kennesaw GA 30152-4575 | |
| (770) 309-3882 | |
| Not Available |
| Full Name | Marie Stone Counseling, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 1300 Ridenour Blvd Nw Ste 253, Kennesaw, Georgia |
| Authorized Official Name and Position | Marie Stone (OWNER) |
| Authorized Official Contact | 7703093882 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Marie Stone Counseling, Llc 1300 Ridenour Blvd Nw Ste 100 Kennesaw GA 30152-4528 Ph: (770) 309-3882 | Marie Stone Counseling, Llc 1300 Ridenour Blvd Nw Ste 253 Kennesaw GA 30152-4575 Ph: (770) 309-3882 |
| NPI Number | 1548892151 |
|---|---|
| Provider Enumeration Date | 02/11/2020 |
| Last Update Date | 02/11/2020 |
| Certification Date | 02/11/2020 |
| Medicare PECOS PAC ID | 5496191678 |
|---|---|
| Medicare Enrollment ID | O20240311001025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548892151 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Marie Stone |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154727725 PECOS PAC ID: 8426372707 Enrollment ID: I20240311001186 |
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