| The Compassionate Couch Llc | |
|
3710 Oak Park Dr Suwanee GA 30024-1867 | |
| (678) 680-8858 | |
| Not Available |
| Full Name | The Compassionate Couch Llc |
|---|---|
| Speciality | Social Worker |
| Location | 3710 Oak Park Dr, Suwanee, Georgia |
| Authorized Official Name and Position | Claire Capobianco (SOLE OWNER) |
| Authorized Official Contact | 6786808858 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Compassionate Couch Llc 11585 Jones Bridge Rd Ste 420 Johns Creek GA 30022-7476 Ph: (678) 680-8858 | The Compassionate Couch Llc 3710 Oak Park Dr Suwanee GA 30024-1867 Ph: (678) 680-8858 |
| NPI Number | 1578227054 |
|---|---|
| Provider Enumeration Date | 10/29/2021 |
| Last Update Date | 10/29/2021 |
| Certification Date | 10/29/2021 |
| Medicare PECOS PAC ID | 2668863853 |
|---|---|
| Medicare Enrollment ID | O20211222002689 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578227054 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Claire Capobianco |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700169661 PECOS PAC ID: 1254684178 Enrollment ID: I20181023002262 |
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