| Restorative Therapy And Consulting Llc | |
|
1 Huntington Rd Ste 204 Athens GA 30606-7206 | |
| (404) 375-3043 | |
| (706) 543-4458 |
| Full Name | Restorative Therapy And Consulting Llc |
|---|---|
| Speciality | Social Worker |
| Location | 1 Huntington Rd Ste 204, Athens, Georgia |
| Authorized Official Name and Position | Audrey Brannen (LCSW) |
| Authorized Official Contact | 4043753043 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Restorative Therapy And Consulting Llc 1 Huntington Rd Ste 204 Athens GA 30606-7206 Ph: (404) 375-3043 | Restorative Therapy And Consulting Llc 1 Huntington Rd Ste 204 Athens GA 30606-7206 Ph: (404) 375-3043 |
| NPI Number | 1114543923 |
|---|---|
| Provider Enumeration Date | 06/18/2020 |
| Last Update Date | 06/18/2020 |
| Certification Date | 06/18/2020 |
| Medicare PECOS PAC ID | 0547617656 |
|---|---|
| Medicare Enrollment ID | O20231111000267 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114543923 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Audrey Danielle Brannen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992047070 PECOS PAC ID: 1456708569 Enrollment ID: I20231111000276 |
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