| Georgia Counseling And Rehabilitation Services, Llc | |
|
125 Commerce Cir Fayetteville GA 30214-1303 | |
| (470) 278-5830 | |
| Not Available |
| Full Name | Georgia Counseling And Rehabilitation Services, Llc |
|---|---|
| Speciality | Counselor |
| Location | 125 Commerce Cir, Fayetteville, Georgia |
| Authorized Official Name and Position | Frandee Dunmore (OWNER) |
| Authorized Official Contact | 4702785830 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Georgia Counseling And Rehabilitation Services, Llc Po Box 143271 Fayetteville GA 30214-6529 Ph: (470) 278-5830 | Georgia Counseling And Rehabilitation Services, Llc 125 Commerce Cir Fayetteville GA 30214-1303 Ph: (470) 278-5830 |
| NPI Number | 1295515625 |
|---|---|
| Provider Enumeration Date | 10/03/2023 |
| Last Update Date | 10/12/2023 |
| Certification Date | 10/12/2023 |
| Medicare PECOS PAC ID | 2769825918 |
|---|---|
| Medicare Enrollment ID | O20240205003804 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295515625 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Frandee Dunmore |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1669701108 PECOS PAC ID: 3678916822 Enrollment ID: I20240205003853 |
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