| Alpha Omega Holistic Care & Counseling, Llc. | |
|
160 Memory Ln Stockbridge GA 30281-6263 | |
| (678) 561-2171 | |
| (678) 619-4399 |
| Full Name | Alpha Omega Holistic Care & Counseling, Llc. |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 160 Memory Ln, Stockbridge, Georgia |
| Authorized Official Name and Position | Christi Hardeman (OWNER) |
| Authorized Official Contact | 6785612171 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Alpha Omega Holistic Care & Counseling, Llc. 160 Memory Ln Stockbridge GA 30281-6263 Ph: (678) 561-2171 | Alpha Omega Holistic Care & Counseling, Llc. 160 Memory Ln Stockbridge GA 30281-6263 Ph: (678) 561-2171 |
| NPI Number | 1194100438 |
|---|---|
| Provider Enumeration Date | 07/28/2015 |
| Last Update Date | 07/28/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194100438 | NPI | - | NPPES |
| 003158457A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | CSW005202 (Georgia) | Primary |
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