| Keira Young Llc | |
|
3863 Highway 138 Se Unit 312 Stockbridge GA 30281-4143 | |
| (678) 243-0263 | |
| (877) 920-2137 |
| Full Name | Keira Young Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3863 Highway 138 Se Unit 312, Stockbridge, Georgia |
| Authorized Official Name and Position | Keira Young (OWNER) |
| Authorized Official Contact | 6782430263 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Keira Young Llc 3863 Highway 138 Se Unit 312 Stockbridge GA 30281-4143 Ph: (678) 243-0263 | Keira Young Llc 3863 Highway 138 Se Unit 312 Stockbridge GA 30281-4143 Ph: (678) 243-0263 |
| NPI Number | 1457036493 |
|---|---|
| Provider Enumeration Date | 06/19/2023 |
| Last Update Date | 06/19/2023 |
| Certification Date | 06/17/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457036493 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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