| Kendall P. Weinberg Counseling, Llc | |
|
2047 Prince Ave Ste C Athens GA 30606-6033 | |
| (404) 434-1243 | |
| (770) 995-1959 |
| Full Name | Kendall P. Weinberg Counseling, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 2047 Prince Ave Ste C, Athens, Georgia |
| Authorized Official Name and Position | Kendall Poppell Weinberg (OWNER) |
| Authorized Official Contact | 7064054137 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kendall P. Weinberg Counseling, Llc 2202 Brookhaven Dr Yardley PA 19067-6374 Ph: (404) 434-1243 | Kendall P. Weinberg Counseling, Llc 2047 Prince Ave Ste C Athens GA 30606-6033 Ph: (404) 434-1243 |
| NPI Number | 1053826412 |
|---|---|
| Provider Enumeration Date | 12/07/2017 |
| Last Update Date | 09/07/2022 |
| Certification Date | 09/07/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053826412 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | LPC004604 (Georgia) | Primary |
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