| The Family Center Of Georgia, Inc. | |
|
2520 Hollingsworth St Lithonia GA 30058-4424 | |
| (770) 484-8834 | |
| Not Available |
| Full Name | The Family Center Of Georgia, Inc. |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 2520 Hollingsworth St, Lithonia, Georgia |
| Authorized Official Name and Position | Halisi Edwards Staten (LICENSED PSYCHOLOGIST) |
| Authorized Official Contact | 6787681214 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Family Center Of Georgia, Inc. 6964 Harbor Town Way Stone Mountain GA 30087-5467 Ph: (770) 484-8834 | The Family Center Of Georgia, Inc. 2520 Hollingsworth St Lithonia GA 30058-4424 Ph: (770) 484-8834 |
| NPI Number | 1669605127 |
|---|---|
| Provider Enumeration Date | 09/01/2009 |
| Last Update Date | 09/01/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669605127 | NPI | - | NPPES |
| 86355324D | Medicaid | GA |
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