| Redwood Counseling Llc | |
|
220 Werner Way Senoia GA 30276-3615 | |
| (678) 371-4803 | |
| (678) 723-0936 |
| Full Name | Redwood Counseling Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 220 Werner Way, Senoia, Georgia |
| Authorized Official Name and Position | Michael Stuart Perry (PRESIDENT AND CEO) |
| Authorized Official Contact | 6783714803 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Redwood Counseling Llc 805 Glynn St S Ste 127#326 Fayetteville GA 30214-2077 Ph: (678) 371-4803 | Redwood Counseling Llc 220 Werner Way Senoia GA 30276-3615 Ph: (678) 371-4803 |
| NPI Number | 1922673052 |
|---|---|
| Provider Enumeration Date | 05/21/2021 |
| Last Update Date | 02/05/2024 |
| Certification Date | 02/05/2024 |
| Medicare PECOS PAC ID | 6204272131 |
|---|---|
| Medicare Enrollment ID | O20240313002738 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922673052 | NPI | - | NPPES |
| 1649577529 | Other | U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Michael Stuart Perry |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1649577529 PECOS PAC ID: 5799179867 Enrollment ID: I20240313002786 |
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