| To The Root Counseling & Coaching | |
|
1775 Parker Rd Se Bldg C Conyers GA 30094-6654 | |
| (678) 964-1325 | |
| Not Available |
| Full Name | To The Root Counseling & Coaching |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1775 Parker Rd Se Bldg C, Conyers, Georgia |
| Authorized Official Name and Position | Martha Dawson (OWNER) |
| Authorized Official Contact | 6789641325 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| To The Root Counseling & Coaching 2580 Fieldstone Dr Se Conyers GA 30013-1900 Ph: () - | To The Root Counseling & Coaching 1775 Parker Rd Se Bldg C Conyers GA 30094-6654 Ph: (678) 964-1325 |
| NPI Number | 1518527837 |
|---|---|
| Provider Enumeration Date | 06/18/2019 |
| Last Update Date | 06/18/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518527837 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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