| Slt Counseling Services Llc | |
|
301 W Broome St Lagrange GA 30240-3166 | |
| (706) 881-0837 | |
| Not Available |
| Full Name | Slt Counseling Services Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 301 W Broome St, Lagrange, Georgia |
| Authorized Official Name and Position | Samantha Thomaston (OWNER) |
| Authorized Official Contact | 7068810837 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Slt Counseling Services Llc 301 W Broome St Lagrange GA 30240-3166 Ph: () - | Slt Counseling Services Llc 301 W Broome St Lagrange GA 30240-3166 Ph: (706) 881-0837 |
| NPI Number | 1043884158 |
|---|---|
| Provider Enumeration Date | 05/14/2021 |
| Last Update Date | 05/14/2021 |
| Certification Date | 05/14/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043884158 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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