| Paraclete Christian Counseling And Educational Services | |
|
252 Seavy St Senoia GA 30276-1806 | |
| (770) 599-1102 | |
| (770) 599-0806 |
| Full Name | Paraclete Christian Counseling And Educational Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 252 Seavy St, Senoia, Georgia |
| Authorized Official Name and Position | Fred Richard Reynolds (OWNER) |
| Authorized Official Contact | 7705991102 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Paraclete Christian Counseling And Educational Services 252 Seavy St P.o. Box 147 Senoia GA 30276-1806 Ph: (770) 599-1102 | Paraclete Christian Counseling And Educational Services 252 Seavy St Senoia GA 30276-1806 Ph: (770) 599-1102 |
| NPI Number | 1972830263 |
|---|---|
| Provider Enumeration Date | 11/09/2009 |
| Last Update Date | 11/09/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972830263 | NPI | - | NPPES |
| 237506833A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | LPC001386 (Georgia) | Primary |
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