| The Sister Circle Of Love And Empowerment Llc | |
|
4706 Boyer Glen Dr. Douglasville GA 30135 | |
| (770) 896-6854 | |
| Not Available |
| Full Name | The Sister Circle Of Love And Empowerment Llc |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 4706 Boyer Glen Dr., Douglasville, Georgia |
| Authorized Official Name and Position | Chandra Yvette Hardy (BA/CERTIFIED LIFE COACH/EXECUTIVE D) |
| Authorized Official Contact | 7708966854 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Sister Circle Of Love And Empowerment Llc 4706 Boyer Glen Dr. Douglasville GA 30135 Ph: (770) 896-6854 | The Sister Circle Of Love And Empowerment Llc 4706 Boyer Glen Dr. Douglasville GA 30135 Ph: (770) 896-6854 |
| NPI Number | 1003479411 |
|---|---|
| Provider Enumeration Date | 04/22/2019 |
| Last Update Date | 04/22/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003479411 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Secondary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
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