| Tricord Hope Llc | |
|
141 Highway 142 Covington GA 30014-4857 | |
| (770) 658-9012 | |
| Not Available |
| Full Name | Tricord Hope Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 141 Highway 142, Covington, Georgia |
| Authorized Official Name and Position | Tim I Bolen (DIRECTOR) |
| Authorized Official Contact | 7706589012 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tricord Hope Llc 2320 Mount Zion Rd Oxford GA 30054-2626 Ph: (770) 658-9012 | Tricord Hope Llc 141 Highway 142 Covington GA 30014-4857 Ph: (770) 658-9012 |
| NPI Number | 1245730001 |
|---|---|
| Provider Enumeration Date | 02/19/2018 |
| Last Update Date | 06/16/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245730001 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | LPC005921 (Georgia) | Primary |
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