| Pivotal Counseling Llc | |
|
75 N Broad St Winder GA 30680-1907 | |
| (678) 979-7300 | |
| Not Available |
| Full Name | Pivotal Counseling Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 75 N Broad St, Winder, Georgia |
| Authorized Official Name and Position | Katie Salvatierra (LPC / OWNER) |
| Authorized Official Contact | 6789797300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pivotal Counseling Llc 75 N Broad St Winder GA 30680-1907 Ph: (678) 979-7300 | Pivotal Counseling Llc 75 N Broad St Winder GA 30680-1907 Ph: (678) 979-7300 |
| NPI Number | 1104438373 |
|---|---|
| Provider Enumeration Date | 08/19/2020 |
| Last Update Date | 08/19/2020 |
| Certification Date | 08/19/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104438373 | NPI | - | NPPES |
| 1598142143 | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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