| Mind Body Soul Counseling Services, Llc | |
|
305 Prism Dr. Carrollton GA 30116-5596 | |
| (610) 751-1975 | |
| Not Available |
| Full Name | Mind Body Soul Counseling Services, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 305 Prism Dr., Carrollton, Georgia |
| Authorized Official Name and Position | Tonya Diane Klemmer (OWNER) |
| Authorized Official Contact | 6107511975 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mind Body Soul Counseling Services, Llc 305 Prism Dr. Carrollton GA 30116-5596 Ph: (610) 751-1975 | Mind Body Soul Counseling Services, Llc 305 Prism Dr. Carrollton GA 30116-5596 Ph: (610) 751-1975 |
| NPI Number | 1700432184 |
|---|---|
| Provider Enumeration Date | 08/12/2019 |
| Last Update Date | 08/12/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700432184 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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