| Embolden Therapeutic Services | |
|
12655 Birmingham Hwy Ste 302 Milton GA 30004-5199 | |
| (229) 977-2242 | |
| Not Available |
| Full Name | Embolden Therapeutic Services |
|---|---|
| Speciality | Social Worker |
| Location | 12655 Birmingham Hwy Ste 302, Milton, Georgia |
| Authorized Official Name and Position | Kirsten Infinger (OWNER) |
| Authorized Official Contact | 4702232479 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Embolden Therapeutic Services 8735 Dunwoody Pl Ste R Atlanta GA 30350-2995 Ph: (229) 977-2242 | Embolden Therapeutic Services 12655 Birmingham Hwy Ste 302 Milton GA 30004-5199 Ph: (229) 977-2242 |
| NPI Number | 1821842915 |
|---|---|
| Provider Enumeration Date | 04/15/2024 |
| Last Update Date | 08/26/2024 |
| Certification Date | 08/26/2024 |
| Medicare PECOS PAC ID | 9739621244 |
|---|---|
| Medicare Enrollment ID | O20240611003475 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821842915 | NPI | - | NPPES |
| Provider Name | Kirsten Infinger |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831637123 PECOS PAC ID: 9133484017 Enrollment ID: I20240611003548 |
| Provider Name | Shelley Akerman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1104476639 PECOS PAC ID: 2163961269 Enrollment ID: I20240903001005 |
Cardwell Therapy Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 546 Tensas Trce, Milton, GA 30004 Phone: 678-566-1939 | |
Bethel Psychiatric Services Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 980 Birmingham Rd Ste 501294, Milton, GA 30004 Phone: 404-455-2959 |