| Plaza Consultants, Llc | |
|
505 N Church St Thomaston GA 30286-3641 | |
| (770) 229-8721 | |
| (866) 217-7073 |
| Full Name | Plaza Consultants, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 505 N Church St, Thomaston, Georgia |
| Authorized Official Name and Position | Aaron W Roquemore (OWNER) |
| Authorized Official Contact | 6787605365 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Plaza Consultants, Llc 505 N Church St Thomaston GA 30286-3641 Ph: (770) 229-8721 | Plaza Consultants, Llc 505 N Church St Thomaston GA 30286-3641 Ph: (770) 229-8721 |
| NPI Number | 1013306265 |
|---|---|
| Provider Enumeration Date | 01/12/2015 |
| Last Update Date | 01/12/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013306265 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | LPC000524 (Georgia) | Primary |
| 106H00000X | Marriage & Family Therapist | MFT000232 (Georgia) | Secondary |
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