| Modern Jane Solutions | |
|
710 S Thornton Ave Ste F Dalton GA 30720-8421 | |
| (404) 234-4442 | |
| Not Available |
| Full Name | Modern Jane Solutions |
|---|---|
| Speciality | Social Worker |
| Location | 710 S Thornton Ave Ste F, Dalton, Georgia |
| Authorized Official Name and Position | Elizabeth P. Hubbs (OWNER) |
| Authorized Official Contact | 4042344442 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Modern Jane Solutions 710 S Thornton Ave Ste F Dalton GA 30720-8421 Ph: (404) 234-4442 | Modern Jane Solutions 710 S Thornton Ave Ste F Dalton GA 30720-8421 Ph: (404) 234-4442 |
| NPI Number | 1104549807 |
|---|---|
| Provider Enumeration Date | 09/19/2022 |
| Last Update Date | 02/21/2023 |
| Certification Date | 02/21/2023 |
| Medicare PECOS PAC ID | 3577934538 |
|---|---|
| Medicare Enrollment ID | O20230130002223 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104549807 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Elizabeth P Hubbs |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346689817 PECOS PAC ID: 7911148911 Enrollment ID: I20130801000793 |
| Provider Name | Season N Flores |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629558879 PECOS PAC ID: 0749531739 Enrollment ID: I20181002001452 |
| Provider Name | Marlen Rodriguez-sandoval |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194448423 PECOS PAC ID: 4981077435 Enrollment ID: I20230302001962 |
| Provider Name | Steven Cooper |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093210767 PECOS PAC ID: 3971977323 Enrollment ID: I20230327000047 |
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