| Ann Waters, Lpc, Llc | |
|
3589 Habersham At Northlake Tucker GA 30084-4001 | |
| (678) 757-4453 | |
| (678) 530-1034 |
| Full Name | Ann Waters, Lpc, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 3589 Habersham At Northlake, Tucker, Georgia |
| Authorized Official Name and Position | Ann Waters (OWNER) |
| Authorized Official Contact | 6787574453 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ann Waters, Lpc, Llc 3589 Habersham At Northlake Tucker GA 30084-4001 Ph: (678) 757-4453 | Ann Waters, Lpc, Llc 3589 Habersham At Northlake Tucker GA 30084-4001 Ph: (678) 757-4453 |
| NPI Number | 1306313481 |
|---|---|
| Provider Enumeration Date | 10/26/2018 |
| Last Update Date | 05/26/2021 |
| Certification Date | 05/26/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306313481 | NPI | - | NPPES |
| 003245197A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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