Elephant In The Room Counseling Services, Llc | |
2320 Wrightsboro Rd Augusta GA 30904-6233 | |
(706) 750-2809 | |
Not Available |
Full Name | Elephant In The Room Counseling Services, Llc |
---|---|
Speciality | Counselor |
Location | 2320 Wrightsboro Rd, Augusta, Georgia |
Authorized Official Name and Position | Vivian Smoot Ross (CLINICAL DIRECTOR/OWNER) |
Authorized Official Contact | 7065890660 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Elephant In The Room Counseling Services, Llc 2320 Wrightsboro Rd Augusta GA 30904-6233 Ph: (706) 750-2809 | Elephant In The Room Counseling Services, Llc 2320 Wrightsboro Rd Augusta GA 30904-6233 Ph: (706) 750-2809 |
NPI Number | 1225628233 |
---|---|
Provider Enumeration Date | 01/23/2021 |
Last Update Date | 01/23/2021 |
Certification Date | 01/23/2021 |
Medicare PECOS PAC ID | 7315484342 |
---|---|
Medicare Enrollment ID | O20240807003711 |
Identifier | Type | State | Issuer |
---|---|---|---|
1225628233 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Provider Name | Vivian Smoot Ross |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1740797489 PECOS PAC ID: 8224575253 Enrollment ID: I20240807003783 |
Csb Of East Centeal Georgia Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3421 Mike Padgett Hwy, Augusta, GA 30906 Phone: 706-432-7893 | |
Breakthrough Counseling, Coaching And Consulting Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2903 Galahad Way, Augusta, GA 30909 Phone: 404-496-4614 Fax: 866-923-0754 | |
Samantha L Amses Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 211 Pleasant Home Rd Ste G1, Augusta, GA 30907 Phone: 908-433-4484 Fax: 706-364-4589 | |
Perez Counseling And Consulting Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1051 Sims Dr, Augusta, GA 30909 Phone: 706-589-0914 | |
Living-in-care Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 716 5th St, Augusta, GA 30901 Phone: 912-605-6167 | |
Americanwork, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1341 Druid Park Ave, Augusta, GA 30904 Phone: 706-364-9037 Fax: 706-364-9096 | |
Fancy Messy, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4812 Technology Dr Bldg 1, Augusta, GA 30907 Phone: 762-218-3794 |