| Spectrum Athens, LLC | |
|
1 Huntington Rd Ste 204 Athens GA 30606-7206 | |
| (706) 813-4265 | |
| Not Available |
| Full Name | Spectrum Athens, LLC |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 1 Huntington Rd Ste 204, Athens, Georgia |
| Authorized Official Name and Position | Taylor Krcek Evans (OWNER) |
| Authorized Official Contact | 4406551831 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Spectrum Athens, LLC 1 Huntington Rd Ste 204 Athens GA 30606-7206 Ph: (706) 813-4265 | Spectrum Athens, LLC 1 Huntington Rd Ste 204 Athens GA 30606-7206 Ph: (706) 813-4265 |
| NPI Number | 1972473676 |
|---|---|
| Provider Enumeration Date | 11/07/2025 |
| Last Update Date | 11/07/2025 |
| Certification Date | 11/07/2025 |
| Medicare PECOS PAC ID | 9234620022 |
|---|---|
| Medicare Enrollment ID | O20251119002989 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972473676 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | () | Primary |
| Provider Name | Taylor Evans |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952769374 PECOS PAC ID: 3173010998 Enrollment ID: I20251119003458 |
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