| Suddenly Professional Counseling & Consulting, P.c. | |
|
2227 Godby Rd Suite 205 College Park GA 30349-5020 | |
| (404) 305-8175 | |
| (404) 305-8176 |
| Full Name | Suddenly Professional Counseling & Consulting, P.c. |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 2227 Godby Rd, College Park, Georgia |
| Authorized Official Name and Position | Susan Rachelle Winfield (PRESIDENT) |
| Authorized Official Contact | 4043058175 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Suddenly Professional Counseling & Consulting, P.c. 1044 Briarberry Ln Riverdale GA 30296-7102 Ph: (404) 305-8175 | Suddenly Professional Counseling & Consulting, P.c. 2227 Godby Rd Suite 205 College Park GA 30349-5020 Ph: (404) 305-8175 |
| NPI Number | 1265637136 |
|---|---|
| Provider Enumeration Date | 06/19/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 9931542990 |
|---|---|
| Medicare Enrollment ID | O20240516000812 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265637136 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | LPC002594 (Georgia) | Primary |
| Provider Name | Susan Rachelle Winfield |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1437354396 PECOS PAC ID: 5395188353 Enrollment ID: I20240516001032 |
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