| Proactive Life & Health Services | |
|
925 Main St Ste 300-50 Stone Mountain GA 30083-3098 | |
| (404) 416-3547 | |
| (470) 867-6898 |
| Full Name | Proactive Life & Health Services |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 925 Main St Ste 300-50, Stone Mountain, Georgia |
| Authorized Official Name and Position | Shundra Burnes (OWNER/ORGANIZER) |
| Authorized Official Contact | 4044163547 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Proactive Life & Health Services 925 Main St Ste 300-50 Stone Mountain GA 30083-3098 Ph: (404) 416-3547 | Proactive Life & Health Services 925 Main St Ste 300-50 Stone Mountain GA 30083-3098 Ph: (404) 416-3547 |
| NPI Number | 1790317279 |
|---|---|
| Provider Enumeration Date | 02/12/2020 |
| Last Update Date | 02/12/2020 |
| Certification Date | 02/12/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790317279 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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