| Real Life Solutions | |
|
8355 Cherokee Blvd Douglasville GA 30134-2591 | |
| (770) 927-7272 | |
| Not Available |
| Full Name | Real Life Solutions |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 8355 Cherokee Blvd, Douglasville, Georgia |
| Authorized Official Name and Position | Tamekis Williams (CEO/ORGANIZER) |
| Authorized Official Contact | 7709207272 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Real Life Solutions Po Box 641 Douglasville GA 30133-0641 Ph: (770) 927-7272 | Real Life Solutions 8355 Cherokee Blvd Douglasville GA 30134-2591 Ph: (770) 927-7272 |
| NPI Number | 1063873396 |
|---|---|
| Provider Enumeration Date | 03/15/2016 |
| Last Update Date | 03/15/2016 |
| Medicare PECOS PAC ID | 4486925930 |
|---|---|
| Medicare Enrollment ID | O20170802002214 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063873396 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | CSW005654 (Georgia) | Primary |
| Provider Name | Tamekis Williams |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801278023 PECOS PAC ID: 5395016844 Enrollment ID: I20170802002572 |
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