| Rainbow Counseling & Consultation Services Llc | |
|
315 W Ponce De Leon Ave Decatur Court Ste 552 Decatur GA 30030-2400 | |
| (404) 906-5330 | |
| Not Available |
| Full Name | Rainbow Counseling & Consultation Services Llc |
|---|---|
| Speciality | Psychologist |
| Location | 315 W Ponce De Leon Ave, Decatur, Georgia |
| Authorized Official Name and Position | Alaycia Reid (OWNER) |
| Authorized Official Contact | 4049065330 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rainbow Counseling & Consultation Services Llc 315 W Ponce De Leon Ave Decatur Court Ste 552 Decatur GA 30030-2400 Ph: () - | Rainbow Counseling & Consultation Services Llc 315 W Ponce De Leon Ave Decatur Court Ste 552 Decatur GA 30030-2400 Ph: (404) 906-5330 |
| NPI Number | 1205182151 |
|---|---|
| Provider Enumeration Date | 07/30/2012 |
| Last Update Date | 07/30/2012 |
| Medicare PECOS PAC ID | 3476709627 |
|---|---|
| Medicare Enrollment ID | O20120803000620 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205182151 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Alaycia Reid |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1073807608 PECOS PAC ID: 2466608617 Enrollment ID: I20120803000674 |
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