| Family And Child Development Center Of Johns Creek Ltd | |
|
360 Prospect Pl Alpharetta GA 30005-5467 | |
| (404) 433-7363 | |
| (770) 645-9281 |
| Full Name | Family And Child Development Center Of Johns Creek Ltd |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 360 Prospect Pl, Alpharetta, Georgia |
| Authorized Official Name and Position | Lucinda Taylor Grapenthin (OWNER) |
| Authorized Official Contact | 4044337363 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family And Child Development Center Of Johns Creek Ltd 500 Argyll Crst Alpharetta GA 30022-6118 Ph: (404) 433-7363 | Family And Child Development Center Of Johns Creek Ltd 360 Prospect Pl Alpharetta GA 30005-5467 Ph: (404) 433-7363 |
| NPI Number | 1639422603 |
|---|---|
| Provider Enumeration Date | 10/16/2012 |
| Last Update Date | 10/16/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639422603 | NPI | - | NPPES |
| 000922556A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 2289 (Georgia) | Primary |
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