| Suri Counseling Service, Llc | |
|
168 Walter Way Stone Mountain GA 30083-6113 | |
| (678) 708-3397 | |
| Not Available |
| Full Name | Suri Counseling Service, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 168 Walter Way, Stone Mountain, Georgia |
| Authorized Official Name and Position | Kayon M Smith (LICENSED CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 6787083397 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Suri Counseling Service, Llc 168 Walter Way Stone Mountain GA 30083-6113 Ph: (678) 708-3397 | Suri Counseling Service, Llc 168 Walter Way Stone Mountain GA 30083-6113 Ph: (678) 708-3397 |
| NPI Number | 1619460433 |
|---|---|
| Provider Enumeration Date | 06/07/2018 |
| Last Update Date | 06/07/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619460433 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | CSW006400 (Georgia) | Primary |
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