Positive Reinforcement Incorporated | |
4204 Sweetwater Parkway Ellenwood GA 30294-1554 | |
(404) 438-2899 | |
(404) 600-4035 |
Full Name | Positive Reinforcement Incorporated |
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Speciality | Community/Behavioral Health |
Location | 4204 Sweetwater Parkway, Ellenwood, Georgia |
Authorized Official Name and Position | Louanna Fericia Adams (PRESIDENT) |
Authorized Official Contact | 7863820168 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Positive Reinforcement Incorporated 4204 Sweetwater Pkwy Ellenwood GA 30294-1554 Ph: (786) 382-0168 | Positive Reinforcement Incorporated 4204 Sweetwater Parkway Ellenwood GA 30294-1554 Ph: (404) 438-2899 |
NPI Number | 1588794408 |
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Provider Enumeration Date | 03/07/2007 |
Last Update Date | 06/28/2021 |
Certification Date | 06/28/2021 |
Medicare PECOS PAC ID | 6709186992 |
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Medicare Enrollment ID | O20151119000819 |
Identifier | Type | State | Issuer |
---|---|---|---|
1588794408 | NPI | - | NPPES |
003162108C | Medicaid | GA |
Provider Name | Louanna Fericia Adams |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1033590658 PECOS PAC ID: 7517267701 Enrollment ID: I20151119001511 |
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