New Journey Counseling And Consulting Llc | |
4290 Bells Ferry Rd Nw Ste 134-2018 Kennesaw GA 30144-7140 | |
(530) 830-1893 | |
Not Available |
Full Name | New Journey Counseling And Consulting Llc |
---|---|
Speciality | Community/Behavioral Health |
Location | 4290 Bells Ferry Rd Nw Ste 134-2018, Kennesaw, Georgia |
Authorized Official Name and Position | Alexis Ware (OWNER) |
Authorized Official Contact | 6784318900 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
New Journey Counseling And Consulting Llc 420 Middle Valley Ln Woodstock GA 30189-2547 Ph: (678) 431-8900 | New Journey Counseling And Consulting Llc 4290 Bells Ferry Rd Nw Ste 134-2018 Kennesaw GA 30144-7140 Ph: (530) 830-1893 |
NPI Number | 1548733900 |
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Provider Enumeration Date | 01/09/2019 |
Last Update Date | 09/13/2021 |
Certification Date | 08/30/2021 |
Medicare PECOS PAC ID | 5890034953 |
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Medicare Enrollment ID | O20190307000576 |
Identifier | Type | State | Issuer |
---|---|---|---|
1548733900 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
Provider Name | Alexis Marie Ware |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1558630988 PECOS PAC ID: 6709125867 Enrollment ID: I20190320002815 |
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