| Poetic-prose Management Llc | |
|
2195 W Hightower Trl Conyers GA 30012-1820 | |
| (470) 368-5033 | |
| (866) 651-0172 |
| Full Name | Poetic-prose Management Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 2195 W Hightower Trl, Conyers, Georgia |
| Authorized Official Name and Position | Stephen B Grant (FOUNDER/OWER) |
| Authorized Official Contact | 7703306987 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Poetic-prose Management Llc Po Box 3496 Lilburn GA 30048-3496 Ph: (470) 368-5033 | Poetic-prose Management Llc 2195 W Hightower Trl Conyers GA 30012-1820 Ph: (470) 368-5033 |
| NPI Number | 1164102232 |
|---|---|
| Provider Enumeration Date | 07/24/2023 |
| Last Update Date | 08/12/2023 |
| Certification Date | 08/12/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164102232 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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