| Abundant Living Counseling Llc | |
|
4231 Tattnall Run Acworth GA 30101-9559 | |
| (770) 769-6264 | |
| Not Available |
| Full Name | Abundant Living Counseling Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 4231 Tattnall Run, Acworth, Georgia |
| Authorized Official Name and Position | Tammy Holland (PROFESSIONAL COUNSELOR OF MENTAL HE) |
| Authorized Official Contact | 7707696264 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Abundant Living Counseling Llc 4231 Tattnall Run Acworth GA 30101-9559 Ph: (770) 769-6264 | Abundant Living Counseling Llc 4231 Tattnall Run Acworth GA 30101-9559 Ph: (770) 769-6264 |
| NPI Number | 1578361689 |
|---|---|
| Provider Enumeration Date | 03/04/2025 |
| Last Update Date | 03/04/2025 |
| Certification Date | 03/04/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578361689 | NPI | - | NPPES |
| LPC0150637 | Other | GA | GA STATE BOAR OF PROFESSIONAL LICENSING |
| 1508537168 | Medicaid | DE | |
| PC-0011099 | Other | DE | DIVISION OF PROFESSIONAL REGULATION |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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