| Renewed Journey Counseling Svcs | |
|
1479 Brockett Rd Ste 101 Tucker GA 30084-7326 | |
| (404) 625-5427 | |
| (404) 508-8944 |
| Full Name | Renewed Journey Counseling Svcs |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1479 Brockett Rd Ste 101, Tucker, Georgia |
| Authorized Official Name and Position | Regina A Zabel (AGENCY DIRECTOR) |
| Authorized Official Contact | 4046255427 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Renewed Journey Counseling Svcs 1479 Brockett Rd Ste 101 Tucker GA 30084-7326 Ph: (404) 625-5427 | Renewed Journey Counseling Svcs 1479 Brockett Rd Ste 101 Tucker GA 30084-7326 Ph: (404) 625-5427 |
| NPI Number | 1558549337 |
|---|---|
| Provider Enumeration Date | 02/04/2008 |
| Last Update Date | 06/24/2017 |
| Medicare PECOS PAC ID | 3476696147 |
|---|---|
| Medicare Enrollment ID | O20100203000248 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558549337 | NPI | - | NPPES |
| 747634110B | Medicaid | GA |
| Provider Name | Regina A Zabel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063530947 PECOS PAC ID: 3577606243 Enrollment ID: I20100203000240 |
| Provider Name | Shawn P Allen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1437316635 PECOS PAC ID: 5698928596 Enrollment ID: I20121228000327 |
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