| Victory Child & Adolescent Counseling | |
|
1247 Tuscany Dr Ste B1 Braselton GA 30517-3561 | |
| (678) 465-8665 | |
| Not Available |
| Full Name | Victory Child & Adolescent Counseling |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1247 Tuscany Dr Ste B1, Braselton, Georgia |
| Authorized Official Name and Position | Amberly Ellis (PROFESSIONAL COUNSELOR) |
| Authorized Official Contact | 6784658665 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Victory Child & Adolescent Counseling 1247 Tuscany Dr Ste B1 Braselton GA 30517-3561 Ph: () - | Victory Child & Adolescent Counseling 1247 Tuscany Dr Ste B1 Braselton GA 30517-3561 Ph: (678) 465-8665 |
| NPI Number | 1922749837 |
|---|---|
| Provider Enumeration Date | 04/05/2022 |
| Last Update Date | 04/05/2022 |
| Certification Date | 04/04/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922749837 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Kelly E Redwine Lpc Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 300 Broadway Ave, Braselton, GA 30517 Phone: 770-695-7501 | |
Cathy Enochs Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6353 Grand Hickory Dr, Braselton, GA 30517 Phone: 765-748-0715 | |
Cathy Sutton Lcsw Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 300 Broadway Ave, Braselton, GA 30517 Phone: 217-474-6892 Fax: 706-824-1870 |