| Threads Therapeutic Services Llc | |
|
6082 Tennyson Park Way Norcross GA 30092-3378 | |
| (470) 519-2542 | |
| (678) 669-0012 |
| Full Name | Threads Therapeutic Services Llc |
|---|---|
| Speciality | Counselor |
| Location | 6082 Tennyson Park Way, Norcross, Georgia |
| Authorized Official Name and Position | Kateece Freeman (LPC) |
| Authorized Official Contact | 4705192542 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Threads Therapeutic Services Llc Po Box 921063 Norcross GA 30010-1063 Ph: (470) 519-2542 | Threads Therapeutic Services Llc 6082 Tennyson Park Way Norcross GA 30092-3378 Ph: (470) 519-2542 |
| NPI Number | 1487377461 |
|---|---|
| Provider Enumeration Date | 09/23/2022 |
| Last Update Date | 09/23/2022 |
| Certification Date | 09/23/2022 |
| Medicare PECOS PAC ID | 6406299551 |
|---|---|
| Medicare Enrollment ID | O20240206003076 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487377461 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Kateece Freeman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1295185742 PECOS PAC ID: 7214370360 Enrollment ID: I20240206003132 |
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