| Northeast Georgia Clinic | |
|
166 Commerce Pkwy Unit A Cornelia GA 30531-5473 | |
| (404) 806-4524 | |
| (770) 212-2203 |
| Full Name | Northeast Georgia Clinic |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 166 Commerce Pkwy Unit A, Cornelia, Georgia |
| Authorized Official Name and Position | Linda Lue (CFO) |
| Authorized Official Contact | 7709391288 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northeast Georgia Clinic 2900 Chamblee Tucker Rd Bldg 16 Atlanta GA 30341-4148 Ph: (770) 939-1288 | Northeast Georgia Clinic 166 Commerce Pkwy Unit A Cornelia GA 30531-5473 Ph: (404) 806-4524 |
| NPI Number | 1982377206 |
|---|---|
| Provider Enumeration Date | 08/02/2021 |
| Last Update Date | 07/27/2022 |
| Certification Date | 07/27/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982377206 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Secondary |
North Georgia Counseling Center, Inc. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 166 Commerce Pkwy Unit C, Cornelia, GA 30531 Phone: 706-778-0954 Fax: 833-226-0131 | |
Sonrise Counseling Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 215 Hodges St Ste 203, Cornelia, GA 30531 Phone: 678-936-0474 |