| Marietta West Cobb Counseling Center, Inc. | |
|
707 Whitlock Ave Sw Ste H10 Marietta GA 30064-3098 | |
| (770) 415-0880 | |
| Not Available |
| Full Name | Marietta West Cobb Counseling Center, Inc. |
|---|---|
| Speciality | Counselor - Professional |
| Location | 707 Whitlock Ave Sw Ste H10, Marietta, Georgia |
| Authorized Official Name and Position | Terri Abraham (CEO) |
| Authorized Official Contact | 7705917518 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Marietta West Cobb Counseling Center, Inc. 707 Whitlock Ave Sw Suite H-10 Marietta GA 30064-3000 Ph: (770) 591-7518 | Marietta West Cobb Counseling Center, Inc. 707 Whitlock Ave Sw Ste H10 Marietta GA 30064-3098 Ph: (770) 415-0880 |
| NPI Number | 1558528828 |
|---|---|
| Provider Enumeration Date | 05/22/2008 |
| Last Update Date | 02/26/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558528828 | NPI | - | NPPES |
| 129577652A | Medicaid | GA | |
| 5732533 | Other | GA | AETNA |
| 726881000 | Other | GA | MAGELLAN |
| 1427124593 | Other | GA | BCBS |
| 10063297 | Other | GA | AMERIGROUP |
| 10063295 | Other | GA | AMERIGROUP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 003709 (Georgia) | Primary |
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