The Mindspring Center | |
1147 Us Highway 80 W Pooler GA 31322-2203 | |
(912) 748-6463 | |
(912) 748-1507 |
Full Name | The Mindspring Center |
---|---|
Speciality | Counselor - Professional |
Location | 1147 Us Highway 80 W, Pooler, Georgia |
Authorized Official Name and Position | Jennifer Ann Ranicki (OWNER) |
Authorized Official Contact | 9127486463 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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The Mindspring Center 1147 Us Highway 80 W Pooler GA 31322-2203 Ph: (912) 748-6463 | The Mindspring Center 1147 Us Highway 80 W Pooler GA 31322-2203 Ph: (912) 748-6463 |
NPI Number | 1609307834 |
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Provider Enumeration Date | 03/21/2017 |
Last Update Date | 03/21/2017 |
Identifier | Type | State | Issuer |
---|---|---|---|
1609307834 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | LPC006682 (Georgia) | Primary |
101YP2500X | Counselor - Professional | APC005533 (Georgia) | Secondary |
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