Resonance | |
310 W Line St Calhoun GA 30701-1818 | |
(706) 403-6148 | |
Not Available |
Full Name | Resonance |
---|---|
Speciality | Counselor - Professional |
Location | 310 W Line St, Calhoun, Georgia |
Authorized Official Name and Position | Charity Muse (OWNER, MANAGING MEMBER) |
Authorized Official Contact | 7064036148 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Resonance 310 W Line St Calhoun GA 30701-1818 Ph: (706) 403-6148 | Resonance 310 W Line St Calhoun GA 30701-1818 Ph: (706) 403-6148 |
NPI Number | 1609367648 |
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Provider Enumeration Date | 05/25/2018 |
Last Update Date | 05/25/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1609367648 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | LPC009243 (Georgia) | Secondary |
101YP2500X | Counselor - Professional | LPC009243 (Georgia) | Primary |
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