| Overcomers Counseling | |
|
109 Central Ave Cartersville GA 30120-3905 | |
| (404) 518-5705 | |
| (770) 334-3674 |
| Full Name | Overcomers Counseling |
|---|---|
| Speciality | Counselor |
| Location | 109 Central Ave, Cartersville, Georgia |
| Authorized Official Name and Position | Kimberly Rose Duff (OWNER) |
| Authorized Official Contact | 4045185705 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Overcomers Counseling 5003 Kathryn Glen Dr Acworth GA 30101-2018 Ph: (404) 518-5705 | Overcomers Counseling 109 Central Ave Cartersville GA 30120-3905 Ph: (404) 518-5705 |
| NPI Number | 1235593286 |
|---|---|
| Provider Enumeration Date | 04/06/2016 |
| Last Update Date | 05/10/2024 |
| Certification Date | 05/06/2024 |
| Medicare PECOS PAC ID | 3678913662 |
|---|---|
| Medicare Enrollment ID | O20240424001256 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235593286 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | LPC008763 (Georgia) | Primary |
| Provider Name | Kimberly R Duff |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1649633728 PECOS PAC ID: 4587004577 Enrollment ID: I20240510002567 |
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