| Persevering Through Life Consulting Llc | |
|
214a Hawkinsville Rd Vienna GA 31092-1320 | |
| (478) 721-4429 | |
| Not Available |
| Full Name | Persevering Through Life Consulting Llc |
|---|---|
| Speciality | Counselor |
| Location | 214a Hawkinsville Rd, Vienna, Georgia |
| Authorized Official Name and Position | Cindy Mathis (OWNER) |
| Authorized Official Contact | 2293293212 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Persevering Through Life Consulting Llc Po Box 264 Byromville GA 31007-0264 Ph: (229) 329-3212 | Persevering Through Life Consulting Llc 214a Hawkinsville Rd Vienna GA 31092-1320 Ph: (478) 721-4429 |
| NPI Number | 1265115745 |
|---|---|
| Provider Enumeration Date | 08/10/2023 |
| Last Update Date | 05/20/2024 |
| Certification Date | 03/11/2024 |
| Medicare PECOS PAC ID | 0840632246 |
|---|---|
| Medicare Enrollment ID | O20240530004063 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265115745 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Cindy Mathis |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1659945111 PECOS PAC ID: 2668814062 Enrollment ID: I20240530004106 |
Middle Flint Community Service Board Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1404 E Union St, Vienna, GA 31092 Phone: 229-931-2470 Fax: 229-931-2474 |