| Swan Counseling And Coaching, Llc | |
|
278 Waleska Rd Canton GA 30114-2441 | |
| (770) 953-4744 | |
| Not Available |
| Full Name | Swan Counseling And Coaching, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 278 Waleska Rd, Canton, Georgia |
| Authorized Official Name and Position | Andrea Moody (PROVIDER) |
| Authorized Official Contact | 7709534744 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Swan Counseling And Coaching, Llc 1827 Powers Ferry Rd Se Bldg 22 Atlanta GA 30339-5621 Ph: () - | Swan Counseling And Coaching, Llc 278 Waleska Rd Canton GA 30114-2441 Ph: (770) 953-4744 |
| NPI Number | 1245702786 |
|---|---|
| Provider Enumeration Date | 12/21/2018 |
| Last Update Date | 12/21/2018 |
| Medicare PECOS PAC ID | 5496094492 |
|---|---|
| Medicare Enrollment ID | O20190311000526 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245702786 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Andrea Moody |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457727190 PECOS PAC ID: 9335457514 Enrollment ID: I20151008000820 |
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