| Connect Four Counseling Llc | |
|
2020 Avalon Pkwy Suite 375 Mcdonough GA 30253-3087 | |
| (678) 833-1664 | |
| (678) 604-8585 |
| Full Name | Connect Four Counseling Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2020 Avalon Pkwy, Mcdonough, Georgia |
| Authorized Official Name and Position | Shawnette Nichole Miller (CLINICAL SOCIAL WORKER - THERAPIST) |
| Authorized Official Contact | 6788331664 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Connect Four Counseling Llc 2020 Avalon Pkwy Suite 375 Mcdonough GA 30253-3087 Ph: (678) 833-1664 | Connect Four Counseling Llc 2020 Avalon Pkwy Suite 375 Mcdonough GA 30253-3087 Ph: (678) 833-1664 |
| NPI Number | 1083086581 |
|---|---|
| Provider Enumeration Date | 10/22/2015 |
| Last Update Date | 10/22/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083086581 | NPI | - | NPPES |
| 003155030A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | CSW004801 (Georgia) | Primary |
Milestone Behavioral Health Services Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1659 Highway 20 W Ste 301, Mcdonough, GA 30253 Phone: 678-914-5750 | |
Sheila A. Balog, Ph.d., Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 55 Jonesboro St, Mcdonough, GA 30253 Phone: 678-583-4975 | |
A Recovery Place Counseling Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 162 Keys Ferry St, Mcdonough, GA 30253 Phone: 678-782-7180 | |
Assets Of A King, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 916 Maple Leaf Dr, Mcdonough, GA 30253 Phone: 678-814-3358 Fax: 678-272-2417 | |
Illum Residential Care, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 625 Moorings Ave, Mcdonough, GA 30253 Phone: 470-476-9527 | |
Piyush C. Patel, M.d. Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2340 Patrick Henry Pkwy, Ste 225, Mcdonough, GA 30253 Phone: 770-389-8100 Fax: 770-389-3030 | |
Mcintosh Trail Community Service Board Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 403 Saddlecreek Drive, Mcdonough, GA 30253 Phone: 770-229-3125 |