| Jtl Counseling Services, Llc | |
|
5556 Atlanta Hwy Ste 3a Flowery Branch GA 30542-3552 | |
| (770) 895-9485 | |
| (770) 995-1959 |
| Full Name | Jtl Counseling Services, Llc |
|---|---|
| Speciality | Counselor |
| Location | 5556 Atlanta Hwy Ste 3a, Flowery Branch, Georgia |
| Authorized Official Name and Position | Jason Lunt (OWNER) |
| Authorized Official Contact | 7708959458 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jtl Counseling Services, Llc 5556 Atlanta Hwy Ste 3a Flowery Branch GA 30542-3552 Ph: (770) 895-9485 | Jtl Counseling Services, Llc 5556 Atlanta Hwy Ste 3a Flowery Branch GA 30542-3552 Ph: (770) 895-9485 |
| NPI Number | 1689111353 |
|---|---|
| Provider Enumeration Date | 01/19/2017 |
| Last Update Date | 11/04/2023 |
| Certification Date | 11/04/2023 |
| Medicare PECOS PAC ID | 0547613317 |
|---|---|
| Medicare Enrollment ID | O20240129000385 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689111353 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | LPC007960 (Georgia) | Primary |
| Provider Name | Jason Lunt |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1306239934 PECOS PAC ID: 1456704220 Enrollment ID: I20240129000440 |
| Provider Name | Daphney Predvil |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1336832906 PECOS PAC ID: 1254784028 Enrollment ID: I20240129000485 |
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