| Rebuilding Hope | |
|
2392 Harpers Way Duluth GA 30097-5176 | |
| (601) 527-3533 | |
| (678) 903-4190 |
| Full Name | Rebuilding Hope |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 2392 Harpers Way, Duluth, Georgia |
| Authorized Official Name and Position | Theresa Mosley (OWNER) |
| Authorized Official Contact | 6015273533 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rebuilding Hope 2392 Harpers Way Duluth GA 30097-5176 Ph: (601) 527-3533 | Rebuilding Hope 2392 Harpers Way Duluth GA 30097-5176 Ph: (601) 527-3533 |
| NPI Number | 1043835747 |
|---|---|
| Provider Enumeration Date | 06/09/2020 |
| Last Update Date | 06/09/2020 |
| Certification Date | 06/09/2020 |
| Medicare PECOS PAC ID | 5799148490 |
|---|---|
| Medicare Enrollment ID | O20230829001219 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043835747 | NPI | - | NPPES |
| 00330775A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Secondary |
| Provider Name | Rodney Aldridge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922518836 PECOS PAC ID: 4082078050 Enrollment ID: I20230908001481 |
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