| On Eagle's Wings Counseling Center | |
|
863 Flat Shoals Rd Se Ste 134 Conyers GA 30094-6633 | |
| (470) 708-8793 | |
| Not Available |
| Full Name | On Eagle's Wings Counseling Center |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 863 Flat Shoals Rd Se Ste 134, Conyers, Georgia |
| Authorized Official Name and Position | Jo-ann Dixon (PRESIDENT/DIRECTOR) |
| Authorized Official Contact | 4707088793 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| On Eagle's Wings Counseling Center 863 Flat Shoals Rd Se Ste 134 Conyers GA 30094-6633 Ph: (470) 708-8793 | On Eagle's Wings Counseling Center 863 Flat Shoals Rd Se Ste 134 Conyers GA 30094-6633 Ph: (470) 708-8793 |
| NPI Number | 1457129637 |
|---|---|
| Provider Enumeration Date | 12/18/2023 |
| Last Update Date | 04/11/2024 |
| Certification Date | 04/11/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457129637 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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