| Total Family And Life Services, Llc | |
|
519 Harmonyview Ct Loganville GA 30052-6233 | |
| (770) 355-6073 | |
| (770) 913-8027 |
| Full Name | Total Family And Life Services, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 519 Harmonyview Ct, Loganville, Georgia |
| Authorized Official Name and Position | Ebone D Coakley (OWNER) |
| Authorized Official Contact | 7703556073 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Total Family And Life Services, Llc 519 Harmonyview Ct Loganville GA 30052-6233 Ph: (770) 355-6073 | Total Family And Life Services, Llc 519 Harmonyview Ct Loganville GA 30052-6233 Ph: (770) 355-6073 |
| NPI Number | 1164895470 |
|---|---|
| Provider Enumeration Date | 11/09/2015 |
| Last Update Date | 11/09/2015 |
| Medicare PECOS PAC ID | 2769786086 |
|---|---|
| Medicare Enrollment ID | O20160208000772 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164895470 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | CSW004856 (Georgia) | Primary |
| Provider Name | Ebone Danielle Coakley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992174817 PECOS PAC ID: 3678877990 Enrollment ID: I20160208001119 |
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