| Next Step Counseling, Llc | |
|
110 Habersham Dr Suite 142 Fayetteville GA 30214-1381 | |
| (770) 371-5057 | |
| (404) 537-1045 |
| Full Name | Next Step Counseling, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 110 Habersham Dr, Fayetteville, Georgia |
| Authorized Official Name and Position | Keisha Latonya Pou (OWNER) |
| Authorized Official Contact | 7703715057 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Next Step Counseling, Llc 110 Habersham Dr Suite 142 Fayetteville GA 30214-1381 Ph: (770) 371-5057 | Next Step Counseling, Llc 110 Habersham Dr Suite 142 Fayetteville GA 30214-1381 Ph: (770) 371-5057 |
| NPI Number | 1619416575 |
|---|---|
| Provider Enumeration Date | 02/13/2017 |
| Last Update Date | 02/13/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619416575 | NPI | - | NPPES |
| 1962671131 | Other | GA | NPI |
| 384025512A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 5425 (Georgia) | Primary |
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