| Sunshine Counseling | |
|
47 Lakeland Court Powder Springs GA 30127-8774 | |
| (470) 715-3474 | |
| Not Available |
| Full Name | Sunshine Counseling |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 47 Lakeland Court, Powder Springs, Georgia |
| Authorized Official Name and Position | Victoria Lynn Fountain (CLINICAL THERAPIST) |
| Authorized Official Contact | 4707153474 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sunshine Counseling 47 Lakeland Ct Powder Springs GA 30127-8774 Ph: (678) 717-7952 | Sunshine Counseling 47 Lakeland Court Powder Springs GA 30127-8774 Ph: (470) 715-3474 |
| NPI Number | 1427410950 |
|---|---|
| Provider Enumeration Date | 03/23/2016 |
| Last Update Date | 01/12/2024 |
| Medicare PECOS PAC ID | 1052610300 |
|---|---|
| Medicare Enrollment ID | O20160509001135 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427410950 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | CSW005684 (Georgia) | Primary |
| Provider Name | Victoria Lynn Fountain |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437504966 PECOS PAC ID: 1951600212 Enrollment ID: I20160509001442 |
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