| Grandma's Porch Family Support Services Llc | |
|
3915 Cascade Rd Sw Suite T132 Atlanta GA 30331-8512 | |
| (678) 607-5735 | |
| Not Available |
| Full Name | Grandma's Porch Family Support Services Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 3915 Cascade Rd Sw, Atlanta, Georgia |
| Authorized Official Name and Position | Dietra Taylor (OWNER) |
| Authorized Official Contact | 6786075735 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Grandma's Porch Family Support Services Llc 1466 Copeland Ave Sw Atlanta GA 30310-2501 Ph: (202) 250-9420 | Grandma's Porch Family Support Services Llc 3915 Cascade Rd Sw Suite T132 Atlanta GA 30331-8512 Ph: (678) 607-5735 |
| NPI Number | 1154794410 |
|---|---|
| Provider Enumeration Date | 11/09/2015 |
| Last Update Date | 11/09/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154794410 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | LPC006401 (Georgia) | Primary |
Intentional Hearts, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4200 Northside Pkwy Nw, Bldg 1, Ste 200, Atlanta, GA 30327 Phone: 770-623-3331 | |
Nancy Gup And Associates, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2885 Payton Rd Ne, Atlanta, GA 30345 Phone: 404-634-0014 Fax: 404-728-0043 | |
Atlanta Internal Medicine And Psychiatric Care Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 6111 Peachtree Dunwoody Rd Ne # C, Atlanta, GA 30328 Phone: 770-313-7300 Fax: 770-399-0007 | |
Advanced Neuropsychiatric Health Professionals Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2150 Peachford Rd Ste 1, Atlanta, GA 30338 Phone: 404-918-8118 | |
Stratford Medical Group, Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3379 Peachtree Rd Ne, Suite 555, Atlanta, GA 30326 Phone: 404-974-9575 | |
Flourishing Minds Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2751 Buford Hwy Ne, 700, Atlanta, GA 30324 Phone: 678-322-7935 Fax: 678-922-2149 | |
Chris 180, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3700 Martin Luther King Dr Sw, Atlanta, GA 30331 Phone: 404-486-9034 Fax: 404-835-9350 |