| Gentle Care Behavioral Health PLLC | |
|
320 Lanier Ave W Ste 200 Fayetteville GA 30214 | |
| (404) 999-4726 | |
| Not Available |
| Full Name | Gentle Care Behavioral Health PLLC |
|---|---|
| Speciality | Clinic/Center |
| Location | 320 Lanier Ave W, Fayetteville, Georgia |
| Authorized Official Name and Position | Latoyia Jackson (PSYCHIATRIC NURSE PRACTITIONER) |
| Authorized Official Contact | 4049994726 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gentle Care Behavioral Health PLLC 320 Lanier Ave W Ste 200 Fayetteville GA 30214-7443 Ph: (404) 999-4726 | Gentle Care Behavioral Health PLLC 320 Lanier Ave W Ste 200 Fayetteville GA 30214 Ph: (404) 999-4726 |
| NPI Number | 1407510878 |
|---|---|
| Provider Enumeration Date | 10/22/2021 |
| Last Update Date | 11/12/2021 |
| Certification Date | 10/26/2021 |
| Medicare PECOS PAC ID | 3173011657 |
|---|---|
| Medicare Enrollment ID | O20251024004171 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407510878 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | () | Primary |
| Provider Name | Latoyia Neal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851891873 PECOS PAC ID: 2567715428 Enrollment ID: I20251024004182 |
Southern Crescent Neurological Clinic,pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1250 Highway 54 W, 102, Fayetteville, GA 30214 Phone: 770-719-2965 Fax: 770-719-2963 |
Matter of Focus Counseling LLC Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 320 Lanier Ave W Ste 200, Fayetteville, GA 30214 Phone: 770-599-2069 |
Higgins Psychological Services LLC Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 245 Brookclear Ln, Fayetteville, GA 30215 Phone: 770-912-7943 |
Transcendence Child and Family Therapy Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 120 Carnegie Pl Ste 202, Fayetteville, GA 30214 Phone: 404-988-9177 |
Well3plus Collaborative Care, LLC Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 320 Lanier Ave W, Fayetteville, GA 30214 Phone: 470-930-2000 |
A Christian Place Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 220 Lanier Ave E, Fayetteville, GA 30214 Phone: 678-709-5555 |