| Providence Care Inc | |
|
216 Nw Broad St Ste B Fairburn GA 30213-4106 | |
| (678) 489-2069 | |
| (678) 489-8627 |
| Full Name | Providence Care Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 216 Nw Broad St Ste B, Fairburn, Georgia |
| Authorized Official Name and Position | Stella Ngozi Okpala (DIRECTOR/OWNER) |
| Authorized Official Contact | 4049317854 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Providence Care Inc 216 Nw Broad St Ste B Fairburn GA 30213-4106 Ph: (678) 489-2069 | Providence Care Inc 216 Nw Broad St Ste B Fairburn GA 30213-4106 Ph: (678) 489-2069 |
| NPI Number | 1376805630 |
|---|---|
| Provider Enumeration Date | 06/13/2012 |
| Last Update Date | 06/13/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376805630 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 060-R-1019 (Georgia) | Primary |
Elevate Behavioral Solutions, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5605 Oakley Industrial Blvd Apt 3101, Fairburn, GA 30213 Phone: 864-434-8874 | |
Abide Integrative Counseling Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6636 Sky Leaf Ln, Fairburn, GA 30213 Phone: 706-466-2943 | |
A-positive Intervention Corporated Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 823 Covered Bridge Way, Fairburn, GA 30213 Phone: 404-314-1215 Fax: 770-573-3647 | |
The Spark Center For Play And Wellness Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 340 Lake Jonathan Ln, Fairburn, GA 30213 Phone: 404-550-4213 | |
Flourish Aba Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2011 Broadmoor Way, Fairburn, GA 30213 Phone: 470-473-2672 | |
Solid Foundation Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 613 Stream Ct, Fairburn, GA 30213 Phone: 404-457-2245 | |
A Positive Paradigm Therapy, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2410 Village Green Dr, Fairburn, GA 30213 Phone: 678-829-2099 Fax: 678-882-3453 |