| Clover Center Counseling, Llc | |
|
610 Kentucky St # 168 Scottdale GA 30079-1124 | |
| (404) 734-3777 | |
| Not Available |
| Full Name | Clover Center Counseling, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 610 Kentucky St # 168, Scottdale, Georgia |
| Authorized Official Name and Position | Keryn Benasuly (OWNER) |
| Authorized Official Contact | 4049182746 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Clover Center Counseling, Llc 4618 Imperial Hills Ct Tucker GA 30084-2821 Ph: (404) 918-2746 | Clover Center Counseling, Llc 610 Kentucky St # 168 Scottdale GA 30079-1124 Ph: (404) 734-3777 |
| NPI Number | 1831059385 |
|---|---|
| Provider Enumeration Date | 11/17/2025 |
| Last Update Date | 11/17/2025 |
| Certification Date | 10/31/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831059385 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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