| Riverstone Counseling Center Llc | |
|
132 Riverstone Ter Suite 102 Canton GA 30114-1703 | |
| (770) 213-3615 | |
| (678) 880-9813 |
| Full Name | Riverstone Counseling Center Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 132 Riverstone Ter, Canton, Georgia |
| Authorized Official Name and Position | Elaine Gail Federico (OWNER) |
| Authorized Official Contact | 7702133615 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Riverstone Counseling Center Llc 132 Riverstone Ter Suite 102 Canton GA 30114-1703 Ph: (770) 213-3615 | Riverstone Counseling Center Llc 132 Riverstone Ter Suite 102 Canton GA 30114-1703 Ph: (770) 213-3615 |
| NPI Number | 1063850402 |
|---|---|
| Provider Enumeration Date | 06/07/2013 |
| Last Update Date | 06/07/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063850402 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | LPC007159 (Georgia) | Primary |
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