| Progressive Consumer Counseling | |
|
6175 Old National Hwy Ste 420 College Park GA 30349-4470 | |
| (404) 209-1209 | |
| Not Available |
| Full Name | Progressive Consumer Counseling |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 6175 Old National Hwy Ste 420, College Park, Georgia |
| Authorized Official Name and Position | Mario Butler (CEO) |
| Authorized Official Contact | 4042091209 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Progressive Consumer Counseling 6175 Old National Hwy Ste 420 College Park GA 30349-4470 Ph: (404) 209-1209 | Progressive Consumer Counseling 6175 Old National Hwy Ste 420 College Park GA 30349-4470 Ph: (404) 209-1209 |
| NPI Number | 1659524775 |
|---|---|
| Provider Enumeration Date | 11/03/2008 |
| Last Update Date | 06/11/2019 |
| Medicare PECOS PAC ID | 8325307838 |
|---|---|
| Medicare Enrollment ID | O20180108003238 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659524775 | NPI | - | NPPES |
| 705221638A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 1501037234 (Georgia) | Secondary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Devon Briggs |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1649259714 PECOS PAC ID: 9436179769 Enrollment ID: I20051201000706 |
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