| Ccss | |
|
133 Forsyth St Suite 3 Barnesville GA 30204-1470 | |
| (678) 368-9806 | |
| Not Available |
| Full Name | Ccss |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 133 Forsyth St, Barnesville, Georgia |
| Authorized Official Name and Position | Barbara Vaughan (LPC) |
| Authorized Official Contact | 6783689806 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ccss 133 Forsyth Street Suite 3 Barnesville GA 30204 | Ccss 133 Forsyth St Suite 3 Barnesville GA 30204-1470 Ph: (678) 368-9806 |
| NPI Number | 1124430814 |
|---|---|
| Provider Enumeration Date | 05/29/2014 |
| Last Update Date | 05/29/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124430814 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | LPC007690 (Georgia) | Primary |
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