| Mrd&ca Solutions | |
|
320 Lanier Ave W Ste 200 Fayetteville GA 30214-7443 | |
| (404) 919-8222 | |
| Not Available |
| Full Name | Mrd&ca Solutions |
|---|---|
| Speciality | Counselor |
| Location | 320 Lanier Ave W Ste 200, Fayetteville, Georgia |
| Authorized Official Name and Position | Monique Darnell (OWNER) |
| Authorized Official Contact | 4049198222 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mrd&ca Solutions 320 Lanier Ave W Ste 200 Fayetteville GA 30214-7443 Ph: (404) 919-8222 | Mrd&ca Solutions 320 Lanier Ave W Ste 200 Fayetteville GA 30214-7443 Ph: (404) 919-8222 |
| NPI Number | 1578172987 |
|---|---|
| Provider Enumeration Date | 07/31/2020 |
| Last Update Date | 02/07/2024 |
| Certification Date | 02/07/2024 |
| Medicare PECOS PAC ID | 1052755782 |
|---|---|
| Medicare Enrollment ID | O20240221000712 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578172987 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Monique R Darnell |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1376062539 PECOS PAC ID: 2961846696 Enrollment ID: I20240221000774 |
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