| The Joshua Generation Care And Consultant Services. Llc | |
|
3781 Presidential Pkwy Suite 140 Atlanta GA 30340-3702 | |
| (404) 838-0788 | |
| (404) 973-0790 |
| Full Name | The Joshua Generation Care And Consultant Services. Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 3781 Presidential Pkwy, Atlanta, Georgia |
| Authorized Official Name and Position | Bryan Jones (DIRECTOR) |
| Authorized Official Contact | 4042462815 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Joshua Generation Care And Consultant Services. Llc 4000 Brantley Dr Austell GA 30106-1559 Ph: (404) 838-0788 | The Joshua Generation Care And Consultant Services. Llc 3781 Presidential Pkwy Suite 140 Atlanta GA 30340-3702 Ph: (404) 838-0788 |
| NPI Number | 1700223328 |
|---|---|
| Provider Enumeration Date | 05/23/2013 |
| Last Update Date | 02/03/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700223328 | NPI | - | NPPES |
| 003142232A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | LPC007307 (Georgia) | Primary |
| 251S00000X | Community/behavioral Health | 08020963 (Georgia) | Secondary |
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