| Panacea Counseling Services Llc | |
|
1436 King Rd Riverdale GA 30296-2915 | |
| (404) 510-9358 | |
| Not Available |
| Full Name | Panacea Counseling Services Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1436 King Rd, Riverdale, Georgia |
| Authorized Official Name and Position | Carlton Gray (CO-FOUNDER) |
| Authorized Official Contact | 4047234644 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Panacea Counseling Services Llc 5436 Glen Haven Dr College Park GA 30349-6481 Ph: (404) 936-3126 | Panacea Counseling Services Llc 1436 King Rd Riverdale GA 30296-2915 Ph: (404) 510-9358 |
| NPI Number | 1013249283 |
|---|---|
| Provider Enumeration Date | 02/12/2010 |
| Last Update Date | 02/12/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013249283 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | LPC005841 (Georgia) | Primary |
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