| Renee Caverly-gillett Counseling Services, Llc | |
|
406 Ridley Ave Lagrange GA 30240-2232 | |
| (678) 850-4261 | |
| Not Available |
| Full Name | Renee Caverly-gillett Counseling Services, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 406 Ridley Ave, Lagrange, Georgia |
| Authorized Official Name and Position | Sheila Renee Caverly-gillett (OWNER) |
| Authorized Official Contact | 6788504261 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Renee Caverly-gillett Counseling Services, Llc 10247 Highway 92 Unit 2-301 Woodstock GA 30188-3935 Ph: (678) 850-4261 | Renee Caverly-gillett Counseling Services, Llc 406 Ridley Ave Lagrange GA 30240-2232 Ph: (678) 850-4261 |
| NPI Number | 1629601125 |
|---|---|
| Provider Enumeration Date | 02/13/2020 |
| Last Update Date | 10/24/2022 |
| Certification Date | 10/24/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629601125 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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