| Catoma Counseling Services Llc | |
|
817 Grogan St Suite 105 Lavonia GA 30553-1875 | |
| (706) 356-0333 | |
| Not Available |
| Full Name | Catoma Counseling Services Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 817 Grogan St, Lavonia, Georgia |
| Authorized Official Name and Position | Joel Herman Gibson (SENIOR PARTNER) |
| Authorized Official Contact | 7063560333 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Catoma Counseling Services Llc 817 Grogan St Suite 105 Lavonia GA 30553-1875 Ph: (706) 356-0333 | Catoma Counseling Services Llc 817 Grogan St Suite 105 Lavonia GA 30553-1875 Ph: (706) 356-0333 |
| NPI Number | 1962863449 |
|---|---|
| Provider Enumeration Date | 03/11/2016 |
| Last Update Date | 03/11/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962863449 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | LPC008396 (Georgia) | Primary |