Dnm Health Services | |
1705 Pennsylvania Ave Mcdonough GA 30253-9118 | |
(678) 853-5849 | |
(678) 666-3850 |
Full Name | Dnm Health Services |
---|---|
Speciality | Counselor |
Location | 1705 Pennsylvania Ave, Mcdonough, Georgia |
Authorized Official Name and Position | Victoria Miller (OWNER/DIRECTOR) |
Authorized Official Contact | 4707022278 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Dnm Health Services 1705 Pennsylvania Ave Mcdonough GA 30253-9118 Ph: (470) 410-7738 | Dnm Health Services 1705 Pennsylvania Ave Mcdonough GA 30253-9118 Ph: (678) 853-5849 |
NPI Number | 1508332248 |
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Provider Enumeration Date | 10/20/2018 |
Last Update Date | 11/07/2024 |
Certification Date | 11/07/2024 |
Medicare PECOS PAC ID | 5597006478 |
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Medicare Enrollment ID | O20190402000981 |
Identifier | Type | State | Issuer |
---|---|---|---|
1508332248 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | (* (Not Available)) | Primary |
Provider Name | Victoria Miller |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1245706985 PECOS PAC ID: 0840531729 Enrollment ID: I20240604003777 |
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