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6175 Hickory Flat Hwy Ste 110-111 Canton GA 30115-7207 | |
| (770) 286-1237 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 6175 Hickory Flat Hwy Ste 110-111, Canton, Georgia |
| Authorized Official Name and Position | Leah Epelbaum (PSYCHOTHERAPIST) |
| Authorized Official Contact | 7702861237 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
6175 Hickory Flat Hwy Ste 110-111 Canton GA 30115-7207 Ph: (404) 216-7000 | 6175 Hickory Flat Hwy Ste 110-111 Canton GA 30115-7207 Ph: (770) 286-1237 |
| NPI Number | 1225736317 |
|---|---|
| Provider Enumeration Date | 02/20/2023 |
| Last Update Date | 03/21/2023 |
| Certification Date | 03/21/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225736317 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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