| Nnk 4 L.i.f.e. | |
|
1194 147th St Ste 5 Monticello GA 31064-8068 | |
| (678) 561-3091 | |
| (404) 795-8974 |
| Full Name | Nnk 4 L.i.f.e. |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1194 147th St Ste 5, Monticello, Georgia |
| Authorized Official Name and Position | Nicole N Benton (CEO/OWNER) |
| Authorized Official Contact | 6785613091 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nnk 4 L.i.f.e. 3826 Salem Rd # 136 Covington GA 30016-4528 Ph: (678) 561-3091 | Nnk 4 L.i.f.e. 1194 147th St Ste 5 Monticello GA 31064-8068 Ph: (678) 561-3091 |
| NPI Number | 1588178487 |
|---|---|
| Provider Enumeration Date | 11/30/2017 |
| Last Update Date | 01/26/2023 |
| Certification Date | 01/26/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588178487 | NPI | - | NPPES |
| 003181947A | Medicaid | GA | |
| 003181947J | Medicaid | GA |
Mesepp Community, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 825 Eatonton St, Monticello, GA 31064 Phone: 404-543-4497 |