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1253 Greene St Augusta GA 30901-2127 | |
| (706) 432-4837 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1253 Greene St, Augusta, Georgia |
| Authorized Official Name and Position | Michele Prior (BILLING SUPERVISOR) |
| Authorized Official Contact | 7064324837 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
3421 Mike Padgett Hwy Augusta GA 30906-3815 Ph: (706) 432-4837 | 1253 Greene St Augusta GA 30901-2127 Ph: (706) 432-4837 |
| NPI Number | 1891203345 |
|---|---|
| Provider Enumeration Date | 01/18/2018 |
| Last Update Date | 01/18/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891203345 | NPI | - | NPPES |
| 000606317AS | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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Samantha L Amses Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 211 Pleasant Home Rd Ste G1, Augusta, GA 30907 Phone: 908-433-4484 Fax: 706-364-4589 | |
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Living-in-care Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 716 5th St, Augusta, GA 30901 Phone: 912-605-6167 | |