| Simpli Speaking Counseling, Llc | |
|
2195 Pace St Ste G Covington GA 30014-6657 | |
| (404) 565-4830 | |
| Not Available |
| Full Name | Simpli Speaking Counseling, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 2195 Pace St Ste G, Covington, Georgia |
| Authorized Official Name and Position | Chandrika Monique Derricho (OWNER) |
| Authorized Official Contact | 4045654830 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Simpli Speaking Counseling, Llc Po Box 408 Porterdale GA 30070-0408 Ph: () - | Simpli Speaking Counseling, Llc 2195 Pace St Ste G Covington GA 30014-6657 Ph: (404) 565-4830 |
| NPI Number | 1912781444 |
|---|---|
| Provider Enumeration Date | 08/24/2023 |
| Last Update Date | 08/24/2023 |
| Certification Date | 08/24/2023 |
| Medicare PECOS PAC ID | 5698112357 |
|---|---|
| Medicare Enrollment ID | O20240318002571 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912781444 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Chandrika Monique Derricho |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538615596 PECOS PAC ID: 8325451115 Enrollment ID: I20210115002440 |
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