| Clear Point Therapeutic Services Llc | |
|
111 Woodrow Wilson Dr Ste A Valdosta GA 31602-2583 | |
| (229) 560-5418 | |
| (229) 233-3101 |
| Full Name | Clear Point Therapeutic Services Llc |
|---|---|
| Speciality | Social Worker |
| Location | 111 Woodrow Wilson Dr Ste A, Valdosta, Georgia |
| Authorized Official Name and Position | Al Berry (MANAGER) |
| Authorized Official Contact | 4699154211 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Clear Point Therapeutic Services Llc 111 Woodrow Wilson Dr Ste A Valdosta GA 31602-2583 Ph: (229) 560-5418 | Clear Point Therapeutic Services Llc 111 Woodrow Wilson Dr Ste A Valdosta GA 31602-2583 Ph: (229) 560-5418 |
| NPI Number | 1912645961 |
|---|---|
| Provider Enumeration Date | 05/20/2022 |
| Last Update Date | 12/19/2024 |
| Certification Date | 12/19/2024 |
| Medicare PECOS PAC ID | 0345628889 |
|---|---|
| Medicare Enrollment ID | O20220613000140 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912645961 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | (* (Not Available)) | Secondary |
| Provider Name | Felecia W Brockington |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689042988 PECOS PAC ID: 8224393087 Enrollment ID: I20180525001114 |
| Provider Name | Nyesia Knight |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487219770 PECOS PAC ID: 1254719792 Enrollment ID: I20220613000184 |
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