| Purpose Community Therapeutic Services, Llc | |
|
1031 Railroad St Nw Suite B Conyers GA 30012-5108 | |
| (770) 280-7288 | |
| (770) 983-6098 |
| Full Name | Purpose Community Therapeutic Services, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 1031 Railroad St Nw, Conyers, Georgia |
| Authorized Official Name and Position | Chantay Golson (OWNER) |
| Authorized Official Contact | 7702807288 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Purpose Community Therapeutic Services, Llc 242 Fairfield Rd Villa Rica GA 30180-3804 Ph: (770) 280-7288 | Purpose Community Therapeutic Services, Llc 1031 Railroad St Nw Suite B Conyers GA 30012-5108 Ph: (770) 280-7288 |
| NPI Number | 1700125754 |
|---|---|
| Provider Enumeration Date | 02/12/2013 |
| Last Update Date | 07/09/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700125754 | NPI | - | NPPES |
| 003126621A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
Family 360 Incorporated Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2215 Exchange Pl Se Ste A, Conyers, GA 30013 Phone: 770-679-0586 Fax: 770-554-9349 | |
Douglas Counseling, Coaching, & Consulting, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1665 Village Place Cir Ne, Conyers, GA 30012 Phone: 706-519-3030 | |
Academy For Family Empowerment Services, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1015 Milstead Ave Ne, #210, Conyers, GA 30012 Phone: 770-918-8003 Fax: 770-918-8800 | |
Raven Counseling Services, Inc. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 867 Commerce Dr Sw, Suite 200-400, Conyers, GA 30094 Phone: 770-679-4043 Fax: 770-679-4915 | |
Keys To A Healthy Relationship,llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 997 Commerce Dr Sw, Suite3e, Conyers, GA 30094 Phone: 404-664-0881 Fax: 800-449-1093 | |
Hope And Grace Solutions Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 997 Commerce Dr Sw, Ste 3a, Conyers, GA 30094 Phone: 678-561-7476 | |
Graceol Counseling Center Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1035 Honey Creek Rd Se, Conyers, GA 30013 Phone: 404-839-2688 Fax: 770-922-9498 |