| Deaf Multicultural Counseling Limited Liability Company | |
|
1901 Rosewood Rd Decatur GA 30032-7017 | |
| (470) 763-5282 | |
| Not Available |
| Full Name | Deaf Multicultural Counseling Limited Liability Company |
|---|---|
| Speciality | Social Worker |
| Location | 1901 Rosewood Rd, Decatur, Georgia |
| Authorized Official Name and Position | Makoto Ikegami (OWNER/PSYCHOTHERAPIST) |
| Authorized Official Contact | 4707635282 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Deaf Multicultural Counseling Limited Liability Company 1901 Rosewood Rd Decatur GA 30032-7017 Ph: (470) 763-5282 | Deaf Multicultural Counseling Limited Liability Company 1901 Rosewood Rd Decatur GA 30032-7017 Ph: (470) 763-5282 |
| NPI Number | 1790552404 |
|---|---|
| Provider Enumeration Date | 12/04/2023 |
| Last Update Date | 03/12/2024 |
| Certification Date | 03/12/2024 |
| Medicare PECOS PAC ID | 1153774450 |
|---|---|
| Medicare Enrollment ID | O20240206001235 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790552404 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Makoto Ikegami |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932473113 PECOS PAC ID: 8325459621 Enrollment ID: I20230320001621 |
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