Still Waters Professional Counseling Services, Inc. | |
3711 Executive Center Dr Martinez GA 30907-0951 | |
(706) 955-9224 | |
(706) 955-9349 |
Full Name | Still Waters Professional Counseling Services, Inc. |
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Speciality | Community/behavioral Health |
Location | 3711 Executive Center Dr, Martinez, Georgia |
Authorized Official Name and Position | Leann Jean Oldfield (CEO) |
Authorized Official Contact | 7069559224 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Still Waters Professional Counseling Services, Inc. 3711 Executive Center Dr Martinez GA 30907-0951 Ph: (706) 955-9224 | Still Waters Professional Counseling Services, Inc. 3711 Executive Center Dr Martinez GA 30907-0951 Ph: (706) 955-9224 |
NPI Number | 1710017793 |
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Provider Enumeration Date | 03/07/2007 |
Last Update Date | 12/11/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1710017793 | NPI | - | NPPES |
417703382A | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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D. W. De Vose & Associates, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4210 Columbia Rd Ste 11b, Martinez, GA 30907 Phone: 706-364-6576 Fax: 888-445-2452 | |
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