| The Comfy Place Llc | |
|
182 Riley Ave Ste E2 Macon GA 31204-0776 | |
| (770) 265-0184 | |
| Not Available |
| Full Name | The Comfy Place Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 182 Riley Ave Ste E2, Macon, Georgia |
| Authorized Official Name and Position | Lisa N Ibekwe (OWNER/CEO) |
| Authorized Official Contact | 7702650184 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Comfy Place Llc 3001 Brass Dr Austell GA 30106-1043 Ph: (470) 242-6140 | The Comfy Place Llc 182 Riley Ave Ste E2 Macon GA 31204-0776 Ph: (770) 265-0184 |
| NPI Number | 1548891393 |
|---|---|
| Provider Enumeration Date | 01/30/2020 |
| Last Update Date | 01/30/2020 |
| Certification Date | 01/30/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548891393 | NPI | - | NPPES |
| 006976 | Other | GA | LCSW |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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