| Yielded Hope | |
|
2045 Rockbridge Rd Suite 200 Stone Mountain GA 30087-3551 | |
| (404) 445-1436 | |
| Not Available |
| Full Name | Yielded Hope |
|---|---|
| Speciality | Counselor - Professional |
| Location | 2045 Rockbridge Rd, Stone Mountain, Georgia |
| Authorized Official Name and Position | Tammy T Young (PROFESSIONAL COUNSELOR) |
| Authorized Official Contact | 4049164645 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Yielded Hope 2045 Rockbridge Rd Suite 200 Stone Mountain GA 30087-3551 Ph: (404) 445-1436 | Yielded Hope 2045 Rockbridge Rd Suite 200 Stone Mountain GA 30087-3551 Ph: (404) 445-1436 |
| NPI Number | 1073752341 |
|---|---|
| Provider Enumeration Date | 02/10/2009 |
| Last Update Date | 06/12/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073752341 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | LPC005432 (Georgia) | Primary |
| 251S00000X | Community/behavioral Health | LPC005432 (Georgia) | Secondary |
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