| Raven Counseling Services, Inc. | |
|
867 Commerce Dr Sw Suite 200-400 Conyers GA 30094-6604 | |
| (770) 679-4043 | |
| (770) 679-4915 |
| Full Name | Raven Counseling Services, Inc. |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 867 Commerce Dr Sw, Conyers, Georgia |
| Authorized Official Name and Position | Cassandra E Conton (CEO) |
| Authorized Official Contact | 7706794043 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Raven Counseling Services, Inc. 867 Commerce Dr Sw Suite 200-400 Conyers GA 30094-6604 Ph: (770) 679-4043 | Raven Counseling Services, Inc. 867 Commerce Dr Sw Suite 200-400 Conyers GA 30094-6604 Ph: (770) 679-4043 |
| NPI Number | 1043593791 |
|---|---|
| Provider Enumeration Date | 09/20/2011 |
| Last Update Date | 03/05/2015 |
| Medicare PECOS PAC ID | 0042481061 |
|---|---|
| Medicare Enrollment ID | O20110923000452 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043593791 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | LPC004669 (Georgia) | Primary |
| Provider Name | Cassandra E Conton |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1932344645 PECOS PAC ID: 3971774894 Enrollment ID: I20110923000577 |
| Provider Name | Lynne Collier |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093145088 PECOS PAC ID: 6800191263 Enrollment ID: I20160223000365 |
Family 360 Incorporated Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2215 Exchange Pl Se Ste A, Conyers, GA 30013 Phone: 770-679-0586 Fax: 770-554-9349 | |
Douglas Counseling, Coaching, & Consulting, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1665 Village Place Cir Ne, Conyers, GA 30012 Phone: 706-519-3030 | |
Academy For Family Empowerment Services, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1015 Milstead Ave Ne, #210, Conyers, GA 30012 Phone: 770-918-8003 Fax: 770-918-8800 | |
Keys To A Healthy Relationship,llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 997 Commerce Dr Sw, Suite3e, Conyers, GA 30094 Phone: 404-664-0881 Fax: 800-449-1093 | |
Hope And Grace Solutions Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 997 Commerce Dr Sw, Ste 3a, Conyers, GA 30094 Phone: 678-561-7476 | |
Graceol Counseling Center Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1035 Honey Creek Rd Se, Conyers, GA 30013 Phone: 404-839-2688 Fax: 770-922-9498 |