| Out Of The Box, Counseling, Coaching, And Consulting | |
|
10475 Medlock Bridge Rd Ste 205 Duluth GA 30097-4446 | |
| (678) 379-3781 | |
| (770) 232-1326 |
| Full Name | Out Of The Box, Counseling, Coaching, And Consulting |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 10475 Medlock Bridge Rd Ste 205, Duluth, Georgia |
| Authorized Official Name and Position | Bertrina West (CLINICAL DIRECTOR) |
| Authorized Official Contact | 6783793781 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Out Of The Box, Counseling, Coaching, And Consulting 10475 Medlock Bridge Rd Ste 205 Duluth GA 30097-4446 Ph: (678) 379-3781 | Out Of The Box, Counseling, Coaching, And Consulting 10475 Medlock Bridge Rd Ste 205 Duluth GA 30097-4446 Ph: (678) 379-3781 |
| NPI Number | 1053064022 |
|---|---|
| Provider Enumeration Date | 01/31/2022 |
| Last Update Date | 01/31/2022 |
| Certification Date | 01/31/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053064022 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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