Now: New Opportunities Waiting | |
3774 Lavista Rd Ste 100b Tucker GA 30084-5618 | |
(404) 909-4100 | |
Not Available |
Full Name | Now: New Opportunities Waiting |
---|---|
Speciality | Counselor - Professional |
Location | 3774 Lavista Rd Ste 100b, Tucker, Georgia |
Authorized Official Name and Position | Camille A Colson (OWNER) |
Authorized Official Contact | 4049094100 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Now: New Opportunities Waiting 2890 Georgia Highway 212 Sw Ste A-319 Conyers GA 30094-3363 Ph: (404) 909-4100 | Now: New Opportunities Waiting 3774 Lavista Rd Ste 100b Tucker GA 30084-5618 Ph: (404) 909-4100 |
NPI Number | 1003562083 |
---|---|
Provider Enumeration Date | 02/28/2022 |
Last Update Date | 03/31/2022 |
Certification Date | 03/31/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1003562083 | NPI | - | NPPES |
003235684A | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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