| Decatur Mindfulness And Psychotherapy Llc | |
|
321 W Hill St Suite 2c Decatur GA 30030-4362 | |
| (678) 827-3456 | |
| (678) 669-2051 |
| Full Name | Decatur Mindfulness And Psychotherapy Llc |
|---|---|
| Speciality | Social Worker |
| Location | 321 W Hill St, Decatur, Georgia |
| Authorized Official Name and Position | Rebeca Anne (OWNER) |
| Authorized Official Contact | 6788273456 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Decatur Mindfulness And Psychotherapy Llc 321 W Hill St Suite 2c Decatur GA 30030-4362 Ph: (678) 827-3456 | Decatur Mindfulness And Psychotherapy Llc 321 W Hill St Suite 2c Decatur GA 30030-4362 Ph: (678) 827-3456 |
| NPI Number | 1528425717 |
|---|---|
| Provider Enumeration Date | 01/20/2016 |
| Last Update Date | 12/15/2016 |
| Medicare PECOS PAC ID | 3577860246 |
|---|---|
| Medicare Enrollment ID | O20160323001246 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528425717 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Rebecca Anne |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285912519 PECOS PAC ID: 7911156641 Enrollment ID: I20121012000285 |
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