| New Leaf Therapeutics & Consulting | |
|
2080 Ingleside Ave Macon GA 31204-2028 | |
| (478) 227-0993 | |
| Not Available |
| Full Name | New Leaf Therapeutics & Consulting |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 2080 Ingleside Ave, Macon, Georgia |
| Authorized Official Name and Position | Jennifer Paige Forshay-rodefer (OWNER/THERAPIST) |
| Authorized Official Contact | 4782270993 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| New Leaf Therapeutics & Consulting 1266 Waverland Dr Macon GA 31211-1322 Ph: (850) 294-0047 | New Leaf Therapeutics & Consulting 2080 Ingleside Ave Macon GA 31204-2028 Ph: (478) 227-0993 |
| NPI Number | 1154081750 |
|---|---|
| Provider Enumeration Date | 12/22/2021 |
| Last Update Date | 12/22/2021 |
| Certification Date | 12/22/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154081750 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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