| Mckinney Counseling Services Llc | |
|
3445 Buffington Center Atlanta GA 30349-2941 | |
| (404) 281-1698 | |
| (404) 968-4562 |
| Full Name | Mckinney Counseling Services Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 3445 Buffington Center, Atlanta, Georgia |
| Authorized Official Name and Position | Tracey Adele Mckinney (OWNER/PROVIDER) |
| Authorized Official Contact | 4042811698 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mckinney Counseling Services Llc 2440 Mccall Ct Douglasville GA 30135-3093 Ph: (404) 281-1698 | Mckinney Counseling Services Llc 3445 Buffington Center Atlanta GA 30349-2941 Ph: (404) 281-1698 |
| NPI Number | 1679870679 |
|---|---|
| Provider Enumeration Date | 02/28/2011 |
| Last Update Date | 02/28/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679870679 | NPI | - | NPPES |
| 003104528A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | LPC003685 (Georgia) | Secondary |
| 101YP2500X | Counselor - Professional | LPC003685 (Georgia) | Primary |
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