Serene Concepts Pc | |
500 Lanier Ave W Ste 801g Fayetteville GA 30214-7642 | |
(302) 455-2002 | |
Not Available |
Full Name | Serene Concepts Pc |
---|---|
Speciality | Clinic/center - Adolescent And Children Mental Health |
Location | 500 Lanier Ave W Ste 801g, Fayetteville, Georgia |
Authorized Official Name and Position | Mfon Malachy Inyang (CEO) |
Authorized Official Contact | 2485066867 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Serene Concepts Pc Po Box 1149 Fayetteville GA 30214-6149 Ph: (248) 506-6867 | Serene Concepts Pc 500 Lanier Ave W Ste 801g Fayetteville GA 30214-7642 Ph: (302) 455-2002 |
NPI Number | 1265082341 |
---|---|
Provider Enumeration Date | 09/19/2019 |
Last Update Date | 09/19/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1265082341 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Secondary |
261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
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