Revelation Of Hope Counseling Services, Llc | |
384 Carriage House Dr Ste C Jackson TN 38305-2268 | |
(731) 868-7297 | |
(877) 273-4824 |
Full Name | Revelation Of Hope Counseling Services, Llc |
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Speciality | Counselor |
Location | 384 Carriage House Dr Ste C, Jackson, Tennessee |
Authorized Official Name and Position | Alvin G. Bonds (OWNER & CLINICAL DIRECTOR) |
Authorized Official Contact | 7318687297 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Revelation Of Hope Counseling Services, Llc Po Box 934 Humboldt TN 38343-0934 Ph: (731) 487-3595 | Revelation Of Hope Counseling Services, Llc 384 Carriage House Dr Ste C Jackson TN 38305-2268 Ph: (731) 868-7297 |
NPI Number | 1871909689 |
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Provider Enumeration Date | 07/02/2014 |
Last Update Date | 06/22/2022 |
Certification Date | 06/22/2022 |
Medicare PECOS PAC ID | 4880046812 |
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Medicare Enrollment ID | O20240116001395 |
Identifier | Type | State | Issuer |
---|---|---|---|
1871909689 | NPI | - | NPPES |
Q006062 | Medicaid | TN |
Provider Name | Alvin Gregory Bonds |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1073871331 PECOS PAC ID: 6608228630 Enrollment ID: I20240116001574 |
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