| Great Expectations Unlimited, Llc | |
|
309 Corder Rd, Ste 1 Warner Robins GA 31088-3645 | |
| (478) 293-4880 | |
| (478) 293-4874 |
| Full Name | Great Expectations Unlimited, Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 309 Corder Rd, Ste 1, Warner Robins, Georgia |
| Authorized Official Name and Position | Brenda Williams (CEO) |
| Authorized Official Contact | 2022712110 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Great Expectations Unlimited, Llc 306 Corder Rd Ste 1 Warner Robins GA 31088-3645 Ph: (478) 293-4880 | Great Expectations Unlimited, Llc 309 Corder Rd, Ste 1 Warner Robins GA 31088-3645 Ph: (478) 293-4880 |
| NPI Number | 1184865339 |
|---|---|
| Provider Enumeration Date | 03/18/2009 |
| Last Update Date | 03/15/2016 |
| Medicare PECOS PAC ID | 3476870346 |
|---|---|
| Medicare Enrollment ID | O20150402002159 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184865339 | NPI | - | NPPES |
| 424986876A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 424986876A (Georgia) | Primary |
| Provider Name | Daphne Stevens |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134269079 PECOS PAC ID: 8729182761 Enrollment ID: I20070330000205 |
| Provider Name | Cynthia Q Mcwilliams |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528043965 PECOS PAC ID: 3476638263 Enrollment ID: I20080304000267 |
| Provider Name | William M W Scott |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1093977126 PECOS PAC ID: 8426115205 Enrollment ID: I20170504000639 |
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