| The Fountain Of Hope Counseling Services,llc | |
|
755 Commerce Dr Ste 903 Decatur GA 30030-2624 | |
| (678) 748-9495 | |
| Not Available |
| Full Name | The Fountain Of Hope Counseling Services,llc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 755 Commerce Dr Ste 903, Decatur, Georgia |
| Authorized Official Name and Position | Lorraine Gabbidon (LPC) |
| Authorized Official Contact | 4043077585 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Fountain Of Hope Counseling Services,llc 593 Stonemill Mnr Lithonia GA 30058-8226 Ph: (678) 748-9495 | The Fountain Of Hope Counseling Services,llc 755 Commerce Dr Ste 903 Decatur GA 30030-2624 Ph: (678) 748-9495 |
| NPI Number | 1538706429 |
|---|---|
| Provider Enumeration Date | 12/10/2019 |
| Last Update Date | 12/23/2019 |
| Certification Date | 12/23/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538706429 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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