| Mlc Consulting, Llc | |
|
24a Falcon Cir Nw Cartersville GA 30121-7362 | |
| (470) 494-4334 | |
| Not Available |
| Full Name | Mlc Consulting, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 24a Falcon Cir Nw, Cartersville, Georgia |
| Authorized Official Name and Position | Margaret Ladell Conley (CEO) |
| Authorized Official Contact | 4704398449 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mlc Consulting, Llc Po Box 4285 Cartersville GA 30120-1722 Ph: (470) 439-8449 | Mlc Consulting, Llc 24a Falcon Cir Nw Cartersville GA 30121-7362 Ph: (470) 494-4334 |
| NPI Number | 1205338514 |
|---|---|
| Provider Enumeration Date | 03/02/2018 |
| Last Update Date | 06/16/2018 |
| Medicare PECOS PAC ID | 4385907765 |
|---|---|
| Medicare Enrollment ID | O20180417002560 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205338514 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | CSW6112 (Georgia) | Primary |
| Provider Name | Margaret Ladell Conley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891110631 PECOS PAC ID: 5294098679 Enrollment ID: I20180418000560 |
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