| Vivian Daniel Counseling Llc | |
|
151 Locust St Avondale Estates GA 30002-1050 | |
| (678) 940-8671 | |
| Not Available |
| Full Name | Vivian Daniel Counseling Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 151 Locust St, Avondale Estates, Georgia |
| Authorized Official Name and Position | Vivian Daniel (ORGANIZER) |
| Authorized Official Contact | 6789408671 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vivian Daniel Counseling Llc 151 Locust St Avondale Estates GA 30002-1050 Ph: () - | Vivian Daniel Counseling Llc 151 Locust St Avondale Estates GA 30002-1050 Ph: (678) 940-8671 |
| NPI Number | 1477193050 |
|---|---|
| Provider Enumeration Date | 01/10/2020 |
| Last Update Date | 01/10/2020 |
| Certification Date | 01/10/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477193050 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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