| Manifested Destiny Counseling | |
|
179 Handley Rd Ste D6 Tyrone GA 30290-2152 | |
| (404) 819-4295 | |
| Not Available |
| Full Name | Manifested Destiny Counseling |
|---|---|
| Speciality | Counselor - Professional |
| Location | 179 Handley Rd Ste D6, Tyrone, Georgia |
| Authorized Official Name and Position | Pamela Elder (OWNER) |
| Authorized Official Contact | 6786820415 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Manifested Destiny Counseling 120 Longmeadow Ct Fayetteville GA 30214-5373 Ph: (404) 819-4295 | Manifested Destiny Counseling 179 Handley Rd Ste D6 Tyrone GA 30290-2152 Ph: (404) 819-4295 |
| NPI Number | 1215521687 |
|---|---|
| Provider Enumeration Date | 02/25/2021 |
| Last Update Date | 02/25/2021 |
| Certification Date | 02/25/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215521687 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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