| Poised Perseverance Llc | |
|
1827 Powers Ferry Rd Se Bldg 22 Atlanta GA 30339-5621 | |
| (770) 953-4640 | |
| Not Available |
| Full Name | Poised Perseverance Llc |
|---|---|
| Speciality | Counselor |
| Location | 1827 Powers Ferry Rd Se Bldg 22, Atlanta, Georgia |
| Authorized Official Name and Position | Kathryn Gelfand (OWNER) |
| Authorized Official Contact | 7186628034 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Poised Perseverance Llc 170 Mirramont Lake Dr Woodstock GA 30189-8183 Ph: (770) 953-4640 | Poised Perseverance Llc 1827 Powers Ferry Rd Se Bldg 22 Atlanta GA 30339-5621 Ph: (770) 953-4640 |
| NPI Number | 1356029268 |
|---|---|
| Provider Enumeration Date | 07/10/2023 |
| Last Update Date | 07/25/2023 |
| Certification Date | 07/25/2023 |
| Medicare PECOS PAC ID | 0547608168 |
|---|---|
| Medicare Enrollment ID | O20240402002136 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356029268 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Kathryn Gelfand |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1942906458 PECOS PAC ID: 1456799071 Enrollment ID: I20240402002259 |
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