| Surviving Transitions, Llc | |
|
8307 Office Park Dr Suite E Douglasville GA 30134-6935 | |
| (678) 796-6174 | |
| (678) 261-1641 |
| Full Name | Surviving Transitions, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 8307 Office Park Dr, Douglasville, Georgia |
| Authorized Official Name and Position | Shevander Dykes (DIRECTOR) |
| Authorized Official Contact | 6789342041 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Surviving Transitions, Llc 8307 Office Park Dr Suite E Douglasville GA 30134-6935 Ph: (678) 796-6174 | Surviving Transitions, Llc 8307 Office Park Dr Suite E Douglasville GA 30134-6935 Ph: (678) 796-6174 |
| NPI Number | 1174069207 |
|---|---|
| Provider Enumeration Date | 01/12/2017 |
| Last Update Date | 01/12/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174069207 | NPI | - | NPPES |
| 003150781A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | LPC007614 (Georgia) | Primary |
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