| Double Spirals | |
|
4375 Scotland Ct Snellville GA 30039-8454 | |
| (404) 548-8335 | |
| (770) 470-0530 |
| Full Name | Double Spirals |
|---|---|
| Speciality | Counselor |
| Location | 4375 Scotland Ct, Snellville, Georgia |
| Authorized Official Name and Position | Jennifer Del Castillo (OWNER) |
| Authorized Official Contact | 4045488335 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Double Spirals 4375 Scotland Ct Snellville GA 30039-8454 Ph: (404) 548-8335 | Double Spirals 4375 Scotland Ct Snellville GA 30039-8454 Ph: (404) 548-8335 |
| NPI Number | 1972351450 |
|---|---|
| Provider Enumeration Date | 05/09/2024 |
| Last Update Date | 05/11/2024 |
| Certification Date | 05/11/2024 |
| Medicare PECOS PAC ID | 7517481716 |
|---|---|
| Medicare Enrollment ID | O20250409002404 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972351450 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (NU) | Primary |
| Provider Name | Jennifer Lynn Del Castillo |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1073855235 PECOS PAC ID: 8426572629 Enrollment ID: I20250409002538 |
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