| Georgia Rising Star Services | |
|
7108 Washington St Sw Ste B Covington GA 30014-3417 | |
| (470) 236-2437 | |
| Not Available |
| Full Name | Georgia Rising Star Services |
|---|---|
| Speciality | Behavior Analyst |
| Location | 7108 Washington St Sw Ste B, Covington, Georgia |
| Authorized Official Name and Position | Shantelle Yvonnette Lewis (OWNER) |
| Authorized Official Contact | 4702362437 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Georgia Rising Star Services 13152 Greywolf Ln Covington GA 30014-9017 Ph: () - | Georgia Rising Star Services 7108 Washington St Sw Ste B Covington GA 30014-3417 Ph: (470) 236-2437 |
| NPI Number | 1407652084 |
|---|---|
| Provider Enumeration Date | 02/24/2025 |
| Last Update Date | 02/28/2025 |
| Certification Date | 02/28/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407652084 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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