| Globecore, Inc. | |
|
2801 Buford Hwy Ne Ste 195 Brookhaven GA 30329-2124 | |
| (404) 228-3860 | |
| (770) 559-9015 |
| Full Name | Globecore, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2801 Buford Hwy Ne Ste 195, Brookhaven, Georgia |
| Authorized Official Name and Position | Kelly Michelle Lewis (PRESIDENT/LICENSED PSYCHOLOGIST) |
| Authorized Official Contact | 4046417705 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Globecore, Inc. 2031 Pinnacle Pointe Dr Norcross GA 30071-4917 Ph: (404) 641-7705 | Globecore, Inc. 2801 Buford Hwy Ne Ste 195 Brookhaven GA 30329-2124 Ph: (404) 228-3860 |
| NPI Number | 1780088195 |
|---|---|
| Provider Enumeration Date | 10/14/2014 |
| Last Update Date | 02/19/2021 |
| Certification Date | 02/19/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780088195 | NPI | - | NPPES |
| 003148962A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | PSY003785 (Georgia) | Primary |
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