| Compassion Fosters Change Counseling Services Llc | |
|
2855 Candler Rd Ste 9 Decatur GA 30034-1415 | |
| (404) 272-2896 | |
| Not Available |
| Full Name | Compassion Fosters Change Counseling Services Llc |
|---|---|
| Speciality | Social Worker |
| Location | 2855 Candler Rd Ste 9, Decatur, Georgia |
| Authorized Official Name and Position | Djuana R. Swift (OWNER) |
| Authorized Official Contact | 4042722896 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Compassion Fosters Change Counseling Services Llc 2517 Elkhorn Dr Decatur GA 30034-2721 Ph: (404) 272-2896 | Compassion Fosters Change Counseling Services Llc 2855 Candler Rd Ste 9 Decatur GA 30034-1415 Ph: (404) 272-2896 |
| NPI Number | 1518341445 |
|---|---|
| Provider Enumeration Date | 07/09/2015 |
| Last Update Date | 09/30/2022 |
| Certification Date | 09/30/2022 |
| Medicare PECOS PAC ID | 9133466287 |
|---|---|
| Medicare Enrollment ID | O20190128000980 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518341445 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | CSW003918 (Georgia) | Primary |
| Provider Name | Djuana Swift |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740571009 PECOS PAC ID: 8224342811 Enrollment ID: I20150727000914 |
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