| The Calm Center Inc. | |
|
111 Green View Rd Sw Rome GA 30165-4305 | |
| (706) 235-1400 | |
| (706) 510-1357 |
| Full Name | The Calm Center Inc. |
|---|---|
| Speciality | Psychologist |
| Location | 111 Green View Rd Sw, Rome, Georgia |
| Authorized Official Name and Position | Dennett Howe Gordon (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 7062351400 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Calm Center Inc. Po Box 5072 Rome GA 30162-5072 Ph: (706) 235-1400 | The Calm Center Inc. 111 Green View Rd Sw Rome GA 30165-4305 Ph: (706) 235-1400 |
| NPI Number | 1780782128 |
|---|---|
| Provider Enumeration Date | 09/20/2006 |
| Last Update Date | 01/18/2022 |
| Certification Date | 01/18/2022 |
| Medicare PECOS PAC ID | 3870646839 |
|---|---|
| Medicare Enrollment ID | O20090810000055 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780782128 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 003017 (Georgia) | Primary |
| Provider Name | Dennett H Gordon |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1285721753 PECOS PAC ID: 4981600038 Enrollment ID: I20061012000151 |
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