| Talk to Heal Counseling Center LLC | |
|
11340 Lakefield Dr Ste 200 Johns Creek GA 30097-2456 | |
| (212) 401-2206 | |
| Not Available |
| Full Name | Talk to Heal Counseling Center LLC |
|---|---|
| Speciality | Social Worker |
| Location | 11340 Lakefield Dr Ste 200, Johns Creek, Georgia |
| Authorized Official Name and Position | Elly Yooil Jeong (OWNER) |
| Authorized Official Contact | 2124012206 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Talk to Heal Counseling Center LLC 11340 Lakefield Dr Ste 200 Johns Creek GA 30097-2456 Ph: (212) 401-2206 | Talk to Heal Counseling Center LLC 11340 Lakefield Dr Ste 200 Johns Creek GA 30097-2456 Ph: (212) 401-2206 |
| NPI Number | 1396543260 |
|---|---|
| Provider Enumeration Date | 03/05/2025 |
| Last Update Date | 03/05/2025 |
| Certification Date | 03/05/2025 |
| Medicare PECOS PAC ID | 4789106568 |
|---|---|
| Medicare Enrollment ID | O20250321000672 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396543260 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | () | Primary |
| Provider Name | Elly Yooil Jeong |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669169231 PECOS PAC ID: 5698297471 Enrollment ID: I20250321001492 |
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