| Sage Mental Wellness Center | |
|
1329 Wynnton Rd Columbus GA 31906-2919 | |
| (706) 303-0273 | |
| Not Available |
| Full Name | Sage Mental Wellness Center |
|---|---|
| Speciality | Counselor |
| Location | 1329 Wynnton Rd, Columbus, Georgia |
| Authorized Official Name and Position | Alena Porter (OWNER/CLINICAL DIRECTOR) |
| Authorized Official Contact | 7064413431 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sage Mental Wellness Center 1329 Wynnton Rd Columbus GA 31906-2919 Ph: (706) 441-3431 | Sage Mental Wellness Center 1329 Wynnton Rd Columbus GA 31906-2919 Ph: (706) 303-0273 |
| NPI Number | 1467142489 |
|---|---|
| Provider Enumeration Date | 05/12/2023 |
| Last Update Date | 08/03/2024 |
| Certification Date | 08/03/2024 |
| Medicare PECOS PAC ID | 7517317274 |
|---|---|
| Medicare Enrollment ID | O20231221002324 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467142489 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Alena Porter |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1245713353 PECOS PAC ID: 8426408188 Enrollment ID: I20231227001751 |
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