| Now: New Opportunities Waiting | |
|
3774 Lavista Rd Ste 100b Tucker GA 30084-5618 | |
| (404) 909-4100 | |
| Not Available |
| Full Name | Now: New Opportunities Waiting |
|---|---|
| Speciality | Counselor - Professional |
| Location | 3774 Lavista Rd Ste 100b, Tucker, Georgia |
| Authorized Official Name and Position | Camille A Colson (OWNER) |
| Authorized Official Contact | 4049094100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Now: New Opportunities Waiting 2890 Georgia Highway 212 Sw Ste A-319 Conyers GA 30094-3363 Ph: (404) 909-4100 | Now: New Opportunities Waiting 3774 Lavista Rd Ste 100b Tucker GA 30084-5618 Ph: (404) 909-4100 |
| NPI Number | 1003562083 |
|---|---|
| Provider Enumeration Date | 02/28/2022 |
| Last Update Date | 03/31/2022 |
| Certification Date | 03/31/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003562083 | NPI | - | NPPES |
| 003235684A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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