| Stresscare, Inc. | |
|
1030 Village Dr Watkinsville GA 30677-6004 | |
| (706) 769-1718 | |
| (706) 769-4535 |
| Full Name | Stresscare, Inc. |
|---|---|
| Speciality | Social Worker |
| Location | 1030 Village Dr, Watkinsville, Georgia |
| Authorized Official Name and Position | Paul R. Cole (PRESIDENT OWNER) |
| Authorized Official Contact | 7067691718 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Stresscare, Inc. 1030 Village Dr Watkinsville GA 30677 Ph: (706) 769-1718 | Stresscare, Inc. 1030 Village Dr Watkinsville GA 30677-6004 Ph: (706) 769-1718 |
| NPI Number | 1023086105 |
|---|---|
| Provider Enumeration Date | 03/14/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 6204827504 |
|---|---|
| Medicare Enrollment ID | O20040524000811 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023086105 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 001572 (Georgia) | Primary |
| Provider Name | Paul R Cole |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881774529 PECOS PAC ID: 1052409810 Enrollment ID: I20101204000121 |
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