Vision Foundation Counseling Center, Inc | |
1216 Whispering Pines Rd Albany GA 31707-3562 | |
(229) 435-1729 | |
(229) 435-1720 |
Full Name | Vision Foundation Counseling Center, Inc |
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Speciality | Counselor |
Location | 1216 Whispering Pines Rd, Albany, Georgia |
Authorized Official Name and Position | Roderick Wilcox (PRESIDENT) |
Authorized Official Contact | 2294351729 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Vision Foundation Counseling Center, Inc 1216 Whispering Pines Rd Albany GA 31707-3562 Ph: (229) 435-1729 | Vision Foundation Counseling Center, Inc 1216 Whispering Pines Rd Albany GA 31707-3562 Ph: (229) 435-1729 |
NPI Number | 1457543035 |
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Provider Enumeration Date | 08/16/2007 |
Last Update Date | 08/16/2007 |
Medicare PECOS PAC ID | 0941252357 |
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Medicare Enrollment ID | O20050214000856 |
Identifier | Type | State | Issuer |
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1457543035 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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101YM0800X | Counselor - Mental Health | #214 (Georgia) | Primary |
Provider Name | Roderick M Wilcox |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1043226483 PECOS PAC ID: 7113979527 Enrollment ID: I20050214000874 |
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