On The Level Counseling Therapy & Training Llc | |
366 Wellington St Sw Atlanta GA 30310-1239 | |
(330) 329-0864 | |
Not Available |
Full Name | On The Level Counseling Therapy & Training Llc |
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Speciality | Social Worker |
Location | 366 Wellington St Sw, Atlanta, Georgia |
Authorized Official Name and Position | Morrondo Edwards-roberts (LCSW) |
Authorized Official Contact | 3303290864 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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On The Level Counseling Therapy & Training Llc 366 Wellington St Sw Atlanta GA 30310-1239 Ph: (330) 329-0864 | On The Level Counseling Therapy & Training Llc 366 Wellington St Sw Atlanta GA 30310-1239 Ph: (330) 329-0864 |
NPI Number | 1750970117 |
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Provider Enumeration Date | 01/11/2021 |
Last Update Date | 01/11/2021 |
Certification Date | 01/11/2021 |
Medicare PECOS PAC ID | 9234535261 |
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Medicare Enrollment ID | O20210831000940 |
Identifier | Type | State | Issuer |
---|---|---|---|
1750970117 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Provider Name | Morrondo Edwards-roberts |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1023478609 PECOS PAC ID: 2264722925 Enrollment ID: I20200518002416 |
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