| Rebirth Counseling And Training Center | |
|
3120 S Martin St Ste 100 East Point GA 30344-4396 | |
| (678) 705-5698 | |
| Not Available |
| Full Name | Rebirth Counseling And Training Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 3120 S Martin St Ste 100, East Point, Georgia |
| Authorized Official Name and Position | Carolyn Harpe Waller (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 4048673093 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rebirth Counseling And Training Center 3120 S Martin St Ste 100 East Point GA 30344-4396 Ph: (404) 867-3093 | Rebirth Counseling And Training Center 3120 S Martin St Ste 100 East Point GA 30344-4396 Ph: (678) 705-5698 |
| NPI Number | 1932479755 |
|---|---|
| Provider Enumeration Date | 01/10/2012 |
| Last Update Date | 03/05/2024 |
| Certification Date | 02/28/2024 |
| Medicare PECOS PAC ID | 4981847019 |
|---|---|
| Medicare Enrollment ID | O20130821000449 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932479755 | NPI | - | NPPES |
| Provider Name | Theodore Morgan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1861602443 PECOS PAC ID: 5092984963 Enrollment ID: I20110810000183 |
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