| Diamond Counseling and Coaching, LLC | |
|
135 Bradford Sq Ste B Fayetteville GA 30215-1902 | |
| (678) 886-9112 | |
| (404) 900-9088 |
| Full Name | Diamond Counseling and Coaching, LLC |
|---|---|
| Speciality | Counselor - Professional |
| Location | 135 Bradford Sq Ste B, Fayetteville, Georgia |
| Authorized Official Name and Position | Roselande Domond (LICENSE PROFESSIONAL COUNSELOR) |
| Authorized Official Contact | 6788869112 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Diamond Counseling and Coaching, LLC 11658 Kades Trl Hampton GA 30228-4012 Ph: (678) 886-9112 | Diamond Counseling and Coaching, LLC 135 Bradford Sq Ste B Fayetteville GA 30215-1902 Ph: (678) 886-9112 |
| NPI Number | 1497387963 |
|---|---|
| Provider Enumeration Date | 02/12/2020 |
| Last Update Date | 06/29/2020 |
| Certification Date | 06/29/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497387963 | NPI | - | NPPES |
| 003229763A | Medicaid | GA | |
| 003169295B | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | () | Primary |
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