Trinity Rising Counseling Center | |
545 Forrest Ave Fayetteville GA 30214-1328 | |
(469) 407-1120 | |
(678) 519-2888 |
Full Name | Trinity Rising Counseling Center |
---|---|
Speciality | Counselor - Professional |
Location | 545 Forrest Ave, Fayetteville, Georgia |
Authorized Official Name and Position | Tammarra Letbetter (MENTAL HEALTH COUNSELING) |
Authorized Official Contact | 4694071120 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Trinity Rising Counseling Center 545 Forrest Ave Fayetteville GA 30214-1328 Ph: (469) 407-1120 | Trinity Rising Counseling Center 545 Forrest Ave Fayetteville GA 30214-1328 Ph: (469) 407-1120 |
NPI Number | 1235880550 |
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Provider Enumeration Date | 01/18/2022 |
Last Update Date | 01/18/2022 |
Certification Date | 01/18/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1235880550 | NPI | - | NPPES |
394212001 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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