| Nidesh Consulting Llc | |
|
50 S Parkwood Dr Savannah GA 31404-5213 | |
| (912) 507-0326 | |
| Not Available |
| Full Name | Nidesh Consulting Llc |
|---|---|
| Speciality | Counselor |
| Location | 50 S Parkwood Dr, Savannah, Georgia |
| Authorized Official Name and Position | Shatara Jackson (CEO/OWNER) |
| Authorized Official Contact | 9125070326 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nidesh Consulting Llc 50 S Parkwood Dr Savannah GA 31404-5213 Ph: (912) 507-0326 | Nidesh Consulting Llc 50 S Parkwood Dr Savannah GA 31404-5213 Ph: (912) 507-0326 |
| NPI Number | 1811607336 |
|---|---|
| Provider Enumeration Date | 11/28/2022 |
| Last Update Date | 03/24/2023 |
| Certification Date | 03/24/2023 |
| Medicare PECOS PAC ID | 7416326863 |
|---|---|
| Medicare Enrollment ID | O20221207002024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811607336 | NPI | - | NPPES |
| Provider Name | Shatara Jackson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033660949 PECOS PAC ID: 9234508680 Enrollment ID: I20221207002143 |
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