| Inspiring Healing And Hope Counseling And Development Center, Llc | |
|
8332 Office Park Dr Suite H Douglasville GA 30134-6937 | |
| (404) 907-6635 | |
| Not Available |
| Full Name | Inspiring Healing And Hope Counseling And Development Center, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 8332 Office Park Dr, Douglasville, Georgia |
| Authorized Official Name and Position | Lashawn Faison-bradley (CEO) |
| Authorized Official Contact | 4049076635 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Inspiring Healing And Hope Counseling And Development Center, Llc 8332 Office Park Dr Suite H Douglasville GA 30134-6937 Ph: (404) 907-6635 | Inspiring Healing And Hope Counseling And Development Center, Llc 8332 Office Park Dr Suite H Douglasville GA 30134-6937 Ph: (404) 907-6635 |
| NPI Number | 1144770009 |
|---|---|
| Provider Enumeration Date | 10/04/2016 |
| Last Update Date | 10/04/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144770009 | NPI | - | NPPES |
| 003159462A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 003392 (Georgia) | Primary |
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