| Mize Counseling Services, Llc | |
|
107 Independence Dr Ste E Warner Robins GA 31088-7811 | |
| (478) 217-2259 | |
| (478) 217-2295 |
| Full Name | Mize Counseling Services, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 107 Independence Dr Ste E, Warner Robins, Georgia |
| Authorized Official Name and Position | Amber Mize (LCSW) |
| Authorized Official Contact | 4782172259 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mize Counseling Services, Llc 107 Independence Dr Ste E Warner Robins GA 31088-7811 Ph: (478) 217-2259 | Mize Counseling Services, Llc 107 Independence Dr Ste E Warner Robins GA 31088-7811 Ph: (478) 217-2259 |
| NPI Number | 1326768169 |
|---|---|
| Provider Enumeration Date | 08/31/2022 |
| Last Update Date | 03/31/2023 |
| Certification Date | 03/31/2023 |
| Medicare PECOS PAC ID | 0143696625 |
|---|---|
| Medicare Enrollment ID | O20221025001993 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326768169 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Amber Renee Mize |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598276925 PECOS PAC ID: 1153688403 Enrollment ID: I20171122001010 |
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