| Twilynn Jourdain Enterprises, Llc | |
|
315 W Ponce De Leon Ave Ste 560 Decatur GA 30030-2448 | |
| (678) 805-1270 | |
| (770) 498-3891 |
| Full Name | Twilynn Jourdain Enterprises, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 315 W Ponce De Leon Ave Ste 560, Decatur, Georgia |
| Authorized Official Name and Position | Twilynn Marie Jourdain (OWNER, CEO, CLINICAL DIRECTOR) |
| Authorized Official Contact | 6788051270 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Twilynn Jourdain Enterprises, Llc 6723 Pine Valley Trace Stone Mountain GA 30087-5818 Ph: (404) 375-0625 | Twilynn Jourdain Enterprises, Llc 315 W Ponce De Leon Ave Ste 560 Decatur GA 30030-2448 Ph: (678) 805-1270 |
| NPI Number | 1417415316 |
|---|---|
| Provider Enumeration Date | 03/09/2019 |
| Last Update Date | 03/09/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417415316 | NPI | - | NPPES |
| 003100714A | Medicaid | GA | |
| 1174824627 | Other | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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