| Beautiful Dreamers | |
|
4330 S Lee St Ste 200a Buford GA 30518-5796 | |
| (678) 613-1242 | |
| Not Available |
| Full Name | Beautiful Dreamers |
|---|---|
| Speciality | Day Training, Developmentally Disabled Services |
| Location | 4330 S Lee St Ste 200a, Buford, Georgia |
| Authorized Official Name and Position | Vincentia Paul-constantin (DIRECTOR) |
| Authorized Official Contact | 6786131242 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Beautiful Dreamers 4330 S Lee St Ste 200a Buford GA 30518-5796 Ph: (678) 613-1242 | Beautiful Dreamers 4330 S Lee St Ste 200a Buford GA 30518-5796 Ph: (678) 613-1242 |
| NPI Number | 1396237731 |
|---|---|
| Provider Enumeration Date | 06/01/2018 |
| Last Update Date | 03/24/2021 |
| Certification Date | 03/24/2021 |
| Medicare PECOS PAC ID | 5698195956 |
|---|---|
| Medicare Enrollment ID | O20201027000095 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396237731 | NPI | - | NPPES |
| Provider Name | Robert Hunter |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1851547608 PECOS PAC ID: 6709123706 Enrollment ID: I20201027000149 |
| Provider Name | Vincentia Paul-constantin |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1225567597 PECOS PAC ID: 1850650649 Enrollment ID: I20240311002900 |
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