| Mindsprings Counseling And Consulting Llc | |
|
2750 Lexington Rd Athens GA 30605-2406 | |
| (706) 389-8207 | |
| Not Available |
| Full Name | Mindsprings Counseling And Consulting Llc |
|---|---|
| Speciality | Psychologist |
| Location | 2750 Lexington Rd, Athens, Georgia |
| Authorized Official Name and Position | Lakeisha Gantt (OWNER) |
| Authorized Official Contact | 7063898207 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mindsprings Counseling And Consulting Llc 225 Swanson Dr Athens GA 30606-3219 Ph: () - | Mindsprings Counseling And Consulting Llc 2750 Lexington Rd Athens GA 30605-2406 Ph: (706) 389-8207 |
| NPI Number | 1154185932 |
|---|---|
| Provider Enumeration Date | 02/12/2024 |
| Last Update Date | 08/19/2024 |
| Certification Date | 08/19/2024 |
| Medicare PECOS PAC ID | 0446790547 |
|---|---|
| Medicare Enrollment ID | O20240904000813 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154185932 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Lakeisha Gantt |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1134495971 PECOS PAC ID: 2264972363 Enrollment ID: I20240905001663 |
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