| Three Whiskers Counseling, Llc | |
|
175 Eastmark Way Fayetteville GA 30214-3272 | |
| (301) 467-1152 | |
| Not Available |
| Full Name | Three Whiskers Counseling, Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 175 Eastmark Way, Fayetteville, Georgia |
| Authorized Official Name and Position | Jennifer Schafer (OWNER) |
| Authorized Official Contact | 3014671152 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Three Whiskers Counseling, Llc 175 Eastmark Way Fayetteville GA 30214-3272 Ph: (301) 467-1152 | Three Whiskers Counseling, Llc 175 Eastmark Way Fayetteville GA 30214-3272 Ph: (301) 467-1152 |
| NPI Number | 1568173631 |
|---|---|
| Provider Enumeration Date | 12/09/2022 |
| Last Update Date | 12/09/2022 |
| Certification Date | 12/09/2022 |
| Medicare PECOS PAC ID | 8820462047 |
|---|---|
| Medicare Enrollment ID | O20230329001715 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568173631 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Jennifer Schafer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548748379 PECOS PAC ID: 4385989532 Enrollment ID: I20181217003115 |
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