Transcendence Child And Family Therapy | |
120 Carnegie Pl Ste 202 Fayetteville GA 30214-7915 | |
(404) 988-9177 | |
Not Available |
Full Name | Transcendence Child And Family Therapy |
---|---|
Speciality | Social Worker |
Location | 120 Carnegie Pl Ste 202, Fayetteville, Georgia |
Authorized Official Name and Position | Ryan Sutton (OWNER) |
Authorized Official Contact | 4049889177 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Transcendence Child And Family Therapy 120 Carnegie Pl Fayetteville GA 30214-7912 Ph: () - | Transcendence Child And Family Therapy 120 Carnegie Pl Ste 202 Fayetteville GA 30214-7915 Ph: (404) 988-9177 |
NPI Number | 1033612460 |
---|---|
Provider Enumeration Date | 03/12/2018 |
Last Update Date | 05/04/2018 |
Medicare PECOS PAC ID | 3173857794 |
---|---|
Medicare Enrollment ID | O20190701001774 |
Identifier | Type | State | Issuer |
---|---|---|---|
1033612460 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | CSW004244 (Georgia) | Primary |
Provider Name | Ryan Sutton |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1073882460 PECOS PAC ID: 8527315340 Enrollment ID: I20180724003052 |
Southern Crescent Neurological Clinic,pc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1250 Highway 54 W, 102, Fayetteville, GA 30214 Phone: 770-719-2965 Fax: 770-719-2963 | |
Matter Of Focus Counseling Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 320 Lanier Ave W Ste 200, Fayetteville, GA 30214 Phone: 770-599-2069 | |
Higgins Psychological Services Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 245 Brookclear Ln, Fayetteville, GA 30215 Phone: 770-912-7943 | |
Well3plus Collaborative Care, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 320 Lanier Ave W, Fayetteville, GA 30214 Phone: 470-930-2000 | |
A Christian Place Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 220 Lanier Ave E, Fayetteville, GA 30214 Phone: 678-709-5555 | |
Hopebridge, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 126 Pavilion Pkwy, Fayetteville, GA 30214 Phone: 855-324-0885 |