| Third Act Counseling & Consulting, Llc | |
|
598 S Milledge Ave Ste 5 Athens GA 30605-1262 | |
| (706) 389-4509 | |
| Not Available |
| Full Name | Third Act Counseling & Consulting, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 598 S Milledge Ave Ste 5, Athens, Georgia |
| Authorized Official Name and Position | Paige Campbell (OWNER) |
| Authorized Official Contact | 7063894509 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Third Act Counseling & Consulting, Llc Po Box 612 Athens GA 30603-0612 Ph: (706) 389-4509 | Third Act Counseling & Consulting, Llc 598 S Milledge Ave Ste 5 Athens GA 30605-1262 Ph: (706) 389-4509 |
| NPI Number | 1811762933 |
|---|---|
| Provider Enumeration Date | 11/20/2023 |
| Last Update Date | 10/25/2024 |
| Certification Date | 10/25/2024 |
| Medicare PECOS PAC ID | 4981055936 |
|---|---|
| Medicare Enrollment ID | O20240104000634 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811762933 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| Provider Name | Paige Elise Campbell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639317613 PECOS PAC ID: 1850564014 Enrollment ID: I20111103000274 |
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