| New Reflections Counseling Llc | |
|
182 Ben Burton Cir Ste 200 Bogart GA 30622-6848 | |
| (706) 224-6636 | |
| Not Available |
| Full Name | New Reflections Counseling Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 182 Ben Burton Cir Ste 200, Bogart, Georgia |
| Authorized Official Name and Position | Nickie Cole (OWNER) |
| Authorized Official Contact | 7062246636 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| New Reflections Counseling Llc 182 Ben Burton Cir Ste 200 Bogart GA 30622-6848 Ph: (706) 224-6636 | New Reflections Counseling Llc 182 Ben Burton Cir Ste 200 Bogart GA 30622-6848 Ph: (706) 224-6636 |
| NPI Number | 1508393828 |
|---|---|
| Provider Enumeration Date | 05/17/2017 |
| Last Update Date | 01/24/2023 |
| Certification Date | 01/24/2023 |
| Medicare PECOS PAC ID | 0143594820 |
|---|---|
| Medicare Enrollment ID | O20170919001904 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508393828 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | CSW005839 (Georgia) | Secondary |
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Nickie Cole |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518346345 PECOS PAC ID: 7012281793 Enrollment ID: I20171013001045 |
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