S.t.a.r. Counseling Llc | |
5960 Crooked Creek Rd Peachtree Corners GA 30092-6219 | |
(404) 664-4517 | |
Not Available |
Full Name | S.t.a.r. Counseling Llc |
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Speciality | Social Worker - Clinical |
Location | 5960 Crooked Creek Rd, Peachtree Corners, Georgia |
Authorized Official Name and Position | Otis Chandler (DIRECTOR) |
Authorized Official Contact | 4046644517 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
S.t.a.r. Counseling Llc 2765 Hidden Creek Dr Loganville GA 30052-7595 Ph: (404) 664-4517 | S.t.a.r. Counseling Llc 5960 Crooked Creek Rd Peachtree Corners GA 30092-6219 Ph: (404) 664-4517 |
NPI Number | 1609313113 |
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Provider Enumeration Date | 01/22/2017 |
Last Update Date | 01/22/2017 |
Identifier | Type | State | Issuer |
---|---|---|---|
1609313113 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | CSW005989 (Georgia) | Primary |
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