| Stacy Ekmark, Llc | |
|
1071 Cambridge Sq Ste B Alpharetta GA 30009-1843 | |
| (770) 375-2143 | |
| Not Available |
| Full Name | Stacy Ekmark, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1071 Cambridge Sq Ste B, Alpharetta, Georgia |
| Authorized Official Name and Position | Stacy Ekmark (OWNER) |
| Authorized Official Contact | 7703752143 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stacy Ekmark, Llc 1071 Cambridge Sq Ste B Alpharetta GA 30009-1843 Ph: () - | Stacy Ekmark, Llc 1071 Cambridge Sq Ste B Alpharetta GA 30009-1843 Ph: (770) 375-2143 |
| NPI Number | 1154971240 |
|---|---|
| Provider Enumeration Date | 09/19/2019 |
| Last Update Date | 09/19/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154971240 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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