| Unleashed Potential Counseling And Services, Llc | |
|
4729 Quaker Rd Administration Suite Keysville GA 30816-4950 | |
| (706) 836-7873 | |
| (706) 595-3070 |
| Full Name | Unleashed Potential Counseling And Services, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 4729 Quaker Rd, Keysville, Georgia |
| Authorized Official Name and Position | Audrey Mack (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7063944357 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Unleashed Potential Counseling And Services, Llc 4729 Quaker Rd Administration Suite Keysville GA 30816-4950 Ph: (706) 836-7873 | Unleashed Potential Counseling And Services, Llc 4729 Quaker Rd Administration Suite Keysville GA 30816-4950 Ph: (706) 836-7873 |
| NPI Number | 1922539709 |
|---|---|
| Provider Enumeration Date | 03/23/2017 |
| Last Update Date | 03/23/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922539709 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |