| 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 |
|---|---|
| Provider Enumeration Date | 01/09/2019 |
| Last Update Date | 09/13/2021 |
| Certification Date | 08/30/2021 |
| Medicare PECOS PAC ID | 5890034953 |
|---|---|
| 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 |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558630988 PECOS PAC ID: 6709125867 Enrollment ID: I20190320002815 |
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