| Marvelous Light Consultants | |
|
4484 Covington Hwy Suite 100a Decatur GA 30035-1203 | |
| (404) 286-0054 | |
| (404) 286-0064 |
| Full Name | Marvelous Light Consultants |
|---|---|
| Speciality | Counselor |
| Location | 4484 Covington Hwy, Decatur, Georgia |
| Authorized Official Name and Position | Dewanda B. Jackson (CEO) |
| Authorized Official Contact | 4042860054 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Marvelous Light Consultants Po Box 1501 Lithonia GA 30058-1007 Ph: (404) 286-0054 | Marvelous Light Consultants 4484 Covington Hwy Suite 100a Decatur GA 30035-1203 Ph: (404) 286-0054 |
| NPI Number | 1922145325 |
|---|---|
| Provider Enumeration Date | 02/01/2007 |
| Last Update Date | 06/19/2008 |
| Medicare PECOS PAC ID | 5799030979 |
|---|---|
| Medicare Enrollment ID | O20180611002481 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922145325 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | LPC002390 (Georgia) | Primary |
| Provider Name | Devon Briggs |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1649259714 PECOS PAC ID: 9436179769 Enrollment ID: I20051201000706 |
Joseph T Elder, Psy.d., P.c. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1439 Mclendon Dr Ste D, Decatur, GA 30033 Phone: 404-493-4381 Fax: 770-934-3280 | |
Haven House Counseling Center, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4650 Flat Shoals Pkwy, Decatur, GA 30034 Phone: 404-243-9336 Fax: 404-212-1265 | |
Sherri Cauthen, Lcsw, Rpt-s Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1924 Clairmont Rd Ste 105, Decatur, GA 30033 Phone: 770-743-7405 | |
Alliance Recovery Center, Inc. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 209 Swanton Way # B, Decatur, GA 30030 Phone: 404-377-7669 Fax: 404-377-8536 | |
Center For Cognitive Rehabilitation Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1276 Mcconnell Dr, Suite C, Decatur, GA 30033 Phone: 404-321-1441 Fax: 404-321-5876 | |
Developmental Evaluation Clinic Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 440 Winn Way, Decatur, GA 30030 Phone: 404-508-6413 Fax: 404-508-6443 | |
Stand, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3486 Covington Hwy, Decatur, GA 30032 Phone: 404-288-4668 Fax: 404-288-4688 |