| Akoma Counseling & Consulting, Inc | |
|
125 E Trinity Pl Suite 310 Decatur GA 30030-3360 | |
| (404) 378-7309 | |
| (404) 378-7310 |
| Full Name | Akoma Counseling & Consulting, Inc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 125 E Trinity Pl, Decatur, Georgia |
| Authorized Official Name and Position | Leroy E Reese (PRESIDENT) |
| Authorized Official Contact | 4043787309 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Akoma Counseling & Consulting, Inc Po Box 2639 Decatur GA 30031-2639 Ph: (404) 378-7309 | Akoma Counseling & Consulting, Inc 125 E Trinity Pl Suite 310 Decatur GA 30030-3360 Ph: (404) 378-7309 |
| NPI Number | 1144642224 |
|---|---|
| Provider Enumeration Date | 01/09/2014 |
| Last Update Date | 01/09/2014 |
| Medicare PECOS PAC ID | 8426360298 |
|---|---|
| Medicare Enrollment ID | O20150708000427 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144642224 | NPI | - | NPPES |
| 003136066A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (Georgia) | Primary |
| Provider Name | Leroy Reese |
|---|---|
| Provider Type | Practitioner - Psychologist Billing Independently |
| Provider Identifiers | NPI Number: 1982769006 PECOS PAC ID: 3375855158 Enrollment ID: I20150708002901 |
Joseph T Elder, Psy.d., P.c. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1439 Mclendon Dr Ste D, Decatur, GA 30033 Phone: 404-493-4381 Fax: 770-934-3280 | |
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