| Wind From The Mountain Renewal Center, P.c. | |
|
740 Little Rock Creek Rd Cherrylog GA 30522-2904 | |
| (706) 635-8200 | |
| (706) 635-8201 |
| Full Name | Wind From The Mountain Renewal Center, P.c. |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 740 Little Rock Creek Rd, Cherrylog, Georgia |
| Authorized Official Name and Position | Cara M Busch (OFFICE MANAGER) |
| Authorized Official Contact | 7066358200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wind From The Mountain Renewal Center, P.c. 740 Little Rock Creek Rd Cherrylog GA 30522-2904 Ph: (706) 635-8200 | Wind From The Mountain Renewal Center, P.c. 740 Little Rock Creek Rd Cherrylog GA 30522-2904 Ph: (706) 635-8200 |
| NPI Number | 1245404599 |
|---|---|
| Provider Enumeration Date | 04/17/2008 |
| Last Update Date | 04/17/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245404599 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 1377 (Georgia) | Primary |