| Stone Mountain Christian Counseling Services Inc | |
|
1000 Main Street Suite A Stone Mountain GA 30083 | |
| (770) 498-6300 | |
| (770) 498-4999 |
| Full Name | Stone Mountain Christian Counseling Services Inc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1000 Main Street, Stone Mountain, Georgia |
| Authorized Official Name and Position | Merridy K Vescovo (VICE PRESIDENT) |
| Authorized Official Contact | 7704986300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stone Mountain Christian Counseling Services Inc 1000 Main Street Suite A Stone Mountain GA 30083 Ph: (770) 498-6300 | Stone Mountain Christian Counseling Services Inc 1000 Main Street Suite A Stone Mountain GA 30083 Ph: (770) 498-6300 |
| NPI Number | 1366574618 |
|---|---|
| Provider Enumeration Date | 03/12/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366574618 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 2378LPC (Georgia) | Primary |
| 101YM0800X | Counselor - Mental Health | 867LMFT (Georgia) | Secondary |
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