| Moss Orchids, Llc | |
|
6109 Kensington Trl Stonecrest GA 30038-3244 | |
| (706) 570-9548 | |
| Not Available |
| Full Name | Moss Orchids, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 6109 Kensington Trl, Stonecrest, Georgia |
| Authorized Official Name and Position | Ashley Moss (OWNER/COUNSELOR) |
| Authorized Official Contact | 7065709548 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Moss Orchids, Llc 6109 Kensington Trl Stonecrest GA 30038-3244 Ph: (678) 590-1430 | Moss Orchids, Llc 6109 Kensington Trl Stonecrest GA 30038-3244 Ph: (706) 570-9548 |
| NPI Number | 1144974981 |
|---|---|
| Provider Enumeration Date | 02/10/2022 |
| Last Update Date | 01/17/2023 |
| Certification Date | 01/17/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144974981 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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