| Shadow Horse Counseling, Llc | |
|
5700 Spring St Warm Springs GA 31830-2164 | |
| (229) 310-1844 | |
| Not Available |
| Full Name | Shadow Horse Counseling, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 5700 Spring St, Warm Springs, Georgia |
| Authorized Official Name and Position | Marjorie Reese (OWNER) |
| Authorized Official Contact | 2293101844 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shadow Horse Counseling, Llc Po Box 84 Pine Mountain Valley GA 31823-0084 Ph: () - | Shadow Horse Counseling, Llc 5700 Spring St Warm Springs GA 31830-2164 Ph: (229) 310-1844 |
| NPI Number | 1891381620 |
|---|---|
| Provider Enumeration Date | 12/16/2020 |
| Last Update Date | 12/16/2020 |
| Certification Date | 12/16/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891381620 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |