Redwood Counseling Llc | |
220 Werner Way Senoia GA 30276-3615 | |
(678) 371-4803 | |
(678) 723-0936 |
Full Name | Redwood Counseling Llc |
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Speciality | Community/Behavioral Health |
Location | 220 Werner Way, Senoia, Georgia |
Authorized Official Name and Position | Michael Stuart Perry (PRESIDENT AND CEO) |
Authorized Official Contact | 6783714803 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Redwood Counseling Llc 805 Glynn St S Ste 127#326 Fayetteville GA 30214-2077 Ph: (678) 371-4803 | Redwood Counseling Llc 220 Werner Way Senoia GA 30276-3615 Ph: (678) 371-4803 |
NPI Number | 1922673052 |
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Provider Enumeration Date | 05/21/2021 |
Last Update Date | 02/05/2024 |
Certification Date | 02/05/2024 |
Medicare PECOS PAC ID | 6204272131 |
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Medicare Enrollment ID | O20240313002738 |
Identifier | Type | State | Issuer |
---|---|---|---|
1922673052 | NPI | - | NPPES |
1649577529 | Other | U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
Provider Name | Michael Stuart Perry |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1649577529 PECOS PAC ID: 5799179867 Enrollment ID: I20240313002786 |
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