| Synergetic Healings Llc | |
|
183 W Clinton St Gray GA 31032-5301 | |
| (478) 216-7378 | |
| Not Available |
| Full Name | Synergetic Healings Llc |
|---|---|
| Speciality | Social Worker |
| Location | 183 W Clinton St, Gray, Georgia |
| Authorized Official Name and Position | Dania Ebanks (SOLE MEMBER) |
| Authorized Official Contact | 4782167378 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Synergetic Healings Llc Po Box 818 Gray GA 31032-0818 Ph: (478) 216-7378 | Synergetic Healings Llc 183 W Clinton St Gray GA 31032-5301 Ph: (478) 216-7378 |
| NPI Number | 1831967884 |
|---|---|
| Provider Enumeration Date | 12/19/2023 |
| Last Update Date | 01/18/2024 |
| Certification Date | 01/18/2024 |
| Medicare PECOS PAC ID | 5597116558 |
|---|---|
| Medicare Enrollment ID | O20240104000752 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831967884 | NPI | - | NPPES |
| 1457085441 | Other | GA | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Dania Debbie-ann Ebanks |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457085441 PECOS PAC ID: 6406207463 Enrollment ID: I20240104000842 |
Settlement Drive Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 530 Settlement Rd, Ste. A, Gray, GA 31032 Phone: 478-751-4519 | |
Highway 18 East Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 324 Highway 18 East, Gray, GA 31032 Phone: 478-751-4519 | |
Maggi Califf Street Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 110 Maggie Califf St, Gray, GA 31032 Phone: 478-751-4519 | |
Amanda S Hood Lmft Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 183 W Clinton St, Gray, GA 31032 Phone: 678-825-5167 Fax: 478-986-2337 | |
West Clinton St Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 502 West Clinton Street, Gray, GA 31032 Phone: 478-751-4519 | |
Childs St. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 151 Childs St, Gray, GA 31032 Phone: 478-751-4507 | |
Michael Williamson Mft Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 183 W Clinton St, Gray, GA 31032 Phone: 478-227-4189 |