| Recovery & Consulting Through A Different Lens | |
|
1311 Pebble Ridge Ln Hampton GA 30228-6121 | |
| (470) 219-4855 | |
| Not Available |
| Full Name | Recovery & Consulting Through A Different Lens |
|---|---|
| Speciality | Clinic/Center |
| Location | 1311 Pebble Ridge Ln, Hampton, Georgia |
| Authorized Official Name and Position | Susanah Desilva (FOUNDER) |
| Authorized Official Contact | 4706516704 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Recovery & Consulting Through A Different Lens 3863 Ga-138 Pmb 535 Stockbridge GA 30281 Ph: (470) 651-6704 | Recovery & Consulting Through A Different Lens 1311 Pebble Ridge Ln Hampton GA 30228-6121 Ph: (470) 219-4855 |
| NPI Number | 1427624428 |
|---|---|
| Provider Enumeration Date | 06/01/2021 |
| Last Update Date | 10/01/2024 |
| Certification Date | 09/27/2024 |
| Medicare PECOS PAC ID | 0042606030 |
|---|---|
| Medicare Enrollment ID | O20220330002223 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427624428 | NPI | - | NPPES |
| Provider Name | Susanah Desilva |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205841780 PECOS PAC ID: 9931182995 Enrollment ID: I20040610000818 |
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