| Compassion Therapeutic Counseling Services, Llc | |
|
102 Hubert Dollar Dr Bainbridge GA 39819-3304 | |
| (229) 254-3627 | |
| (229) 389-2877 |
| Full Name | Compassion Therapeutic Counseling Services, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 102 Hubert Dollar Dr, Bainbridge, Georgia |
| Authorized Official Name and Position | Carnel Renea Jones (THERAPIST) |
| Authorized Official Contact | 2292543627 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Compassion Therapeutic Counseling Services, Llc 102 Hubert Dollar Dr Bainbridge GA 39819-3304 Ph: (229) 254-3627 | Compassion Therapeutic Counseling Services, Llc 102 Hubert Dollar Dr Bainbridge GA 39819-3304 Ph: (229) 254-3627 |
| NPI Number | 1922861293 |
|---|---|
| Provider Enumeration Date | 01/31/2024 |
| Last Update Date | 03/05/2024 |
| Certification Date | 03/05/2024 |
| Medicare PECOS PAC ID | 3870938046 |
|---|---|
| Medicare Enrollment ID | O20240227003130 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922861293 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Carnel Renea Jones |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1639577232 PECOS PAC ID: 4789029950 Enrollment ID: I20240307002938 |
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