| Royal Court Of Esther Inc | |
|
2365 Wall St Se Ste 200-05 Conyers GA 30013-2197 | |
| (470) 441-5220 | |
| Not Available |
| Full Name | Royal Court Of Esther Inc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 2365 Wall St Se Ste 200-05, Conyers, Georgia |
| Authorized Official Name and Position | Tyshawn Kingsberry (CEO) |
| Authorized Official Contact | 4704415220 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Royal Court Of Esther Inc 375 Barshay Dr Covington GA 30016-0968 Ph: (470) 441-5220 | Royal Court Of Esther Inc 2365 Wall St Se Ste 200-05 Conyers GA 30013-2197 Ph: (470) 441-5220 |
| NPI Number | 1417456898 |
|---|---|
| Provider Enumeration Date | 02/12/2018 |
| Last Update Date | 06/11/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417456898 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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