| Kingdom Counseling And Consultation Llc | |
|
2875 Spring Villa Ln Se Smyrna GA 30080-3644 | |
| (678) 592-1680 | |
| Not Available |
| Full Name | Kingdom Counseling And Consultation Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2875 Spring Villa Ln Se, Smyrna, Georgia |
| Authorized Official Name and Position | Takelia Jackson (CEO) |
| Authorized Official Contact | 6785921680 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kingdom Counseling And Consultation Llc 2875 Spring Villa Ln Se Smyrna GA 30080-3644 Ph: (678) 592-1680 | Kingdom Counseling And Consultation Llc 2875 Spring Villa Ln Se Smyrna GA 30080-3644 Ph: (678) 592-1680 |
| NPI Number | 1962178418 |
|---|---|
| Provider Enumeration Date | 08/16/2021 |
| Last Update Date | 08/16/2021 |
| Certification Date | 08/13/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962178418 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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