| Versatile Solutions Counseling Services, Llc | |
|
1601 Central Ave N Tifton GA 31794-3411 | |
| (229) 472-3653 | |
| Not Available |
| Full Name | Versatile Solutions Counseling Services, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1601 Central Ave N, Tifton, Georgia |
| Authorized Official Name and Position | Latosha Howard (CEO/THERAPIST) |
| Authorized Official Contact | 2294723653 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Versatile Solutions Counseling Services, Llc Po Box 64 Chula GA 31733-0064 Ph: (229) 848-2512 | Versatile Solutions Counseling Services, Llc 1601 Central Ave N Tifton GA 31794-3411 Ph: (229) 472-3653 |
| NPI Number | 1144911967 |
|---|---|
| Provider Enumeration Date | 05/15/2023 |
| Last Update Date | 05/15/2023 |
| Certification Date | 05/15/2023 |
| Medicare PECOS PAC ID | 5294197935 |
|---|---|
| Medicare Enrollment ID | O20230814000680 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144911967 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Latosha Meshun Howard |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770051088 PECOS PAC ID: 9133463284 Enrollment ID: I20181130001617 |
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