| Practical Guidance & Psychtherapy Inc. | |
|
747 Lauren Pkwy Stone Mountain GA 30083-3483 | |
| (678) 576-3824 | |
| Not Available |
| Full Name | Practical Guidance & Psychtherapy Inc. |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 747 Lauren Pkwy, Stone Mountain, Georgia |
| Authorized Official Name and Position | Carla D Hawkins (OWNER) |
| Authorized Official Contact | 6785763824 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Practical Guidance & Psychtherapy Inc. 747 Lauren Pkwy Stone Mountain GA 30083-3483 Ph: (678) 576-3824 | Practical Guidance & Psychtherapy Inc. 747 Lauren Pkwy Stone Mountain GA 30083-3483 Ph: (678) 576-3824 |
| NPI Number | 1003072703 |
|---|---|
| Provider Enumeration Date | 08/01/2008 |
| Last Update Date | 08/01/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003072703 | NPI | - | NPPES |
| 205339263A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 003303LPC (Georgia) | Primary |
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