| Proactive Management Consulting, Llc | |
|
1830 Water Pl Se Ste 220 Atlanta GA 30339-2292 | |
| (770) 319-7468 | |
| (678) 501-4943 |
| Full Name | Proactive Management Consulting, Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 1830 Water Pl Se Ste 220, Atlanta, Georgia |
| Authorized Official Name and Position | Tonya Denise Mcmillian (PRESIDENT) |
| Authorized Official Contact | 7703197468 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Proactive Management Consulting, Llc 1830 Water Pl Se Ste 220 Atlanta GA 30339-2292 Ph: (770) 655-9757 | Proactive Management Consulting, Llc 1830 Water Pl Se Ste 220 Atlanta GA 30339-2292 Ph: (770) 319-7468 |
| NPI Number | 1295806834 |
|---|---|
| Provider Enumeration Date | 11/13/2006 |
| Last Update Date | 06/28/2024 |
| Certification Date | 06/28/2024 |
| Medicare PECOS PAC ID | 5597915363 |
|---|---|
| Medicare Enrollment ID | O20171205002568 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295806834 | NPI | - | NPPES |
| 212139205B | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 212139205B (Georgia) | Primary |
| Provider Name | Tiffany A Rogers |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1053576199 PECOS PAC ID: 1951669118 Enrollment ID: I20171215000633 |
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