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1194 147th St Ste 5 Monticello GA 31064-8068 | |
| (678) 561-3091 | |
| (404) 795-8974 |
| Full Name | |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1194 147th St Ste 5, Monticello, Georgia |
| Authorized Official Name and Position | Nicole N Benton (CEO) |
| Authorized Official Contact | 4044383677 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
3826 Salem Rd # 136 Covington GA 30016-4528 Ph: (678) 561-3091 | 1194 147th St Ste 5 Monticello GA 31064-8068 Ph: (678) 561-3091 |
| NPI Number | 1588178487 |
|---|---|
| Provider Enumeration Date | 11/30/2017 |
| Last Update Date | 12/31/2024 |
| Certification Date | 12/31/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588178487 | NPI | - | NPPES |
| 003181947J | Medicaid | GA | |
| 003181947A | Medicaid | GA |
Mesepp Community, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 825 Eatonton St, Monticello, GA 31064 Phone: 404-543-4497 | |
Sober Notes Addiction Counseling Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1194 147th St Ste 5, Monticello, GA 31064 Phone: 678-215-3468 |