| Pacifica Counseling Llc | |
|
2607 Vineville Ave Ste 205 Macon GA 31204-0901 | |
| (678) 939-6601 | |
| Not Available |
| Full Name | Pacifica Counseling Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 2607 Vineville Ave Ste 205, Macon, Georgia |
| Authorized Official Name and Position | Hanna Watson Cespedes (OWNER AND LEAD THERAPIST) |
| Authorized Official Contact | 6789396601 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pacifica Counseling Llc 2607 Vineville Ave Ste 205 Macon GA 31204-0901 Ph: (678) 939-6601 | Pacifica Counseling Llc 2607 Vineville Ave Ste 205 Macon GA 31204-0901 Ph: (678) 939-6601 |
| NPI Number | 1194501569 |
|---|---|
| Provider Enumeration Date | 09/01/2023 |
| Last Update Date | 09/01/2023 |
| Certification Date | 09/01/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194501569 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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