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 |
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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 |
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Provider Enumeration Date | 12/09/2021 |
Last Update Date | 02/21/2025 |
Certification Date | 02/21/2025 |
Medicare PECOS PAC ID | 6800275520 |
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Medicare Enrollment ID | O20220625000563 |
Identifier | Type | State | Issuer |
---|---|---|---|
1093474751 | NPI | - | NPPES |
Provider Name | Shamika Diane Cooley |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1710427885 PECOS PAC ID: 5890034169 Enrollment ID: I20190304001941 |
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