| Radical Pathways Counseling Llc | |
|
216 Sailors Dr Ste 127 Ellijay GA 30540-3747 | |
| (706) 669-3260 | |
| Not Available |
| Full Name | Radical Pathways Counseling Llc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 216 Sailors Dr Ste 127, Ellijay, Georgia |
| Authorized Official Name and Position | Stephen Marks (OWNER) |
| Authorized Official Contact | 7066693260 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Radical Pathways Counseling Llc 216 Dogwood Dr Ellijay GA 30540-5527 Ph: (706) 669-3260 | Radical Pathways Counseling Llc 216 Sailors Dr Ste 127 Ellijay GA 30540-3747 Ph: (706) 669-3260 |
| NPI Number | 1649962093 |
|---|---|
| Provider Enumeration Date | 05/24/2023 |
| Last Update Date | 05/24/2023 |
| Certification Date | 05/24/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649962093 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Secondary |
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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