| Premier Counseling Services | |
|
318 S Welborn St Suite C Hinesville GA 31313-3127 | |
| (912) 332-5145 | |
| (912) 480-9732 |
| Full Name | Premier Counseling Services |
|---|---|
| Speciality | Counselor |
| Location | 318 S Welborn St, Hinesville, Georgia |
| Authorized Official Name and Position | Gloria Harris Daughtery (OWNER) |
| Authorized Official Contact | 9123325145 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Premier Counseling Services 318 S Welborn Street Suite C Hinesville GA 31313 Ph: (912) 332-5145 | Premier Counseling Services 318 S Welborn St Suite C Hinesville GA 31313-3127 Ph: (912) 332-5145 |
| NPI Number | 1245573344 |
|---|---|
| Provider Enumeration Date | 03/27/2013 |
| Last Update Date | 01/25/2022 |
| Certification Date | 01/25/2022 |
| Medicare PECOS PAC ID | 7517235245 |
|---|---|
| Medicare Enrollment ID | O20170621000436 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245573344 | NPI | - | NPPES |
| 603509452B | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | LPC005336 (Georgia) | Primary |
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