| Interlinked Counseling And Consulting Services Llc | |
|
1257 Commercial Dr Sw Ste A Conyers GA 30094-5991 | |
| (770) 285-6049 | |
| (470) 207-7902 |
| Full Name | Interlinked Counseling And Consulting Services Llc |
|---|---|
| Speciality | Counselor |
| Location | 1257 Commercial Dr Sw Ste A, Conyers, Georgia |
| Authorized Official Name and Position | D'anthony T Harris (CEO/OWNER) |
| Authorized Official Contact | 4789184040 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Interlinked Counseling And Consulting Services Llc 30 Mountain Crest Dr Oxford GA 30054-4181 Ph: (478) 918-4040 | Interlinked Counseling And Consulting Services Llc 1257 Commercial Dr Sw Ste A Conyers GA 30094-5991 Ph: (770) 285-6049 |
| NPI Number | 1093474751 |
|---|---|
| Provider Enumeration Date | 12/09/2021 |
| Last Update Date | 02/21/2025 |
| Certification Date | 02/21/2025 |
| Medicare PECOS PAC ID | 6800275520 |
|---|---|
| Medicare Enrollment ID | O20220625000563 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093474751 | NPI | - | NPPES |
| Provider Name | Shamika Diane Cooley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710427885 PECOS PAC ID: 5890034169 Enrollment ID: I20190304001941 |
| Provider Name | Joanne B Harris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710616784 PECOS PAC ID: 1153848411 Enrollment ID: I20250509001024 |
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