| Second Chance Or More Counseling Services | |
|
110 Evans Mill Dr Suite 401 Dallas GA 30157-1622 | |
| (407) 462-5483 | |
| Not Available |
| Full Name | Second Chance Or More Counseling Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 110 Evans Mill Dr, Dallas, Georgia |
| Authorized Official Name and Position | Nina A. White (DIRECTOR/OWNER) |
| Authorized Official Contact | 4074625483 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Second Chance Or More Counseling Services Po Box 1018 Hiram GA 30141-1018 Ph: (407) 462-5483 | Second Chance Or More Counseling Services 110 Evans Mill Dr Suite 401 Dallas GA 30157-1622 Ph: (407) 462-5483 |
| NPI Number | 1851836597 |
|---|---|
| Provider Enumeration Date | 01/05/2017 |
| Last Update Date | 01/05/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851836597 | NPI | - | NPPES |
| 00313130 | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | LPC007084 (Georgia) | Primary |
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