| My Epiphany Counseling And Consultation Services, Llc. | |
|
120 Millbrook Village Dr Tyrone GA 30290-3605 | |
| (678) 263-8830 | |
| (678) 782-5491 |
| Full Name | My Epiphany Counseling And Consultation Services, Llc. |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 120 Millbrook Village Dr, Tyrone, Georgia |
| Authorized Official Name and Position | Jemeka Lashay Stallworth (CLINICAL DIRECTOR/CO-OWNER) |
| Authorized Official Contact | 2059196327 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| My Epiphany Counseling And Consultation Services, Llc. 809 Kohl Dr Mcdonough GA 30253-7489 Ph: (678) 263-8830 | My Epiphany Counseling And Consultation Services, Llc. 120 Millbrook Village Dr Tyrone GA 30290-3605 Ph: (678) 263-8830 |
| NPI Number | 1366730079 |
|---|---|
| Provider Enumeration Date | 07/14/2011 |
| Last Update Date | 11/10/2023 |
| Certification Date | 11/10/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366730079 | NPI | - | NPPES |
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