| The Green Shelf, Llc | |
|
154 Newry Dr Atlanta GA 30349-8112 | |
| (470) 227-1079 | |
| Not Available |
| Full Name | The Green Shelf, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 154 Newry Dr, Atlanta, Georgia |
| Authorized Official Name and Position | April Denise Brown (LICENSED PROFESSIONAL COUNSELOR) |
| Authorized Official Contact | 4702271079 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Green Shelf, Llc 154 Newry Dr Atlanta GA 30349-8112 Ph: (678) 687-4405 | The Green Shelf, Llc 154 Newry Dr Atlanta GA 30349-8112 Ph: (470) 227-1079 |
| NPI Number | 1144821265 |
|---|---|
| Provider Enumeration Date | 11/04/2020 |
| Last Update Date | 11/04/2020 |
| Certification Date | 11/04/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144821265 | NPI | - | NPPES |
| 003230778A | Medicaid | GA |
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