| Village Services Llc | |
|
5867 Buckner Creek Dr Mableton GA 30126-2795 | |
| (615) 430-7388 | |
| Not Available |
| Full Name | Village Services Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 5867 Buckner Creek Dr, Mableton, Georgia |
| Authorized Official Name and Position | Stacey Bates Jones (CLINICAL DIRECTOR) |
| Authorized Official Contact | 6154307388 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Village Services Llc Po Box 1121 Austell GA 30168-1054 Ph: (404) 654-0350 | Village Services Llc 5867 Buckner Creek Dr Mableton GA 30126-2795 Ph: (615) 430-7388 |
| NPI Number | 1588302152 |
|---|---|
| Provider Enumeration Date | 05/24/2022 |
| Last Update Date | 05/24/2022 |
| Certification Date | 05/24/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588302152 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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