Trauma Center Inc | |
235 Peachtree St Ne Ste 400 Atlanta GA 30303-1400 | |
(404) 518-0272 | |
Not Available |
Full Name | Trauma Center Inc |
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Speciality | Marriage & Family Therapist |
Location | 235 Peachtree St Ne Ste 400, Atlanta, Georgia |
Authorized Official Name and Position | Arleen Annette Fuller (CEO) |
Authorized Official Contact | 4045180272 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Trauma Center Inc 5658 Greensage Dr Atlanta GA 30349-8739 Ph: (404) 518-0272 | Trauma Center Inc 235 Peachtree St Ne Ste 400 Atlanta GA 30303-1400 Ph: (404) 518-0272 |
NPI Number | 1861240871 |
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Provider Enumeration Date | 05/07/2024 |
Last Update Date | 08/30/2024 |
Certification Date | 08/30/2024 |
Medicare PECOS PAC ID | 2860929494 |
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Medicare Enrollment ID | O20241220001844 |
Identifier | Type | State | Issuer |
---|---|---|---|
1861240871 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
Provider Name | Monika D Hayes |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1083143408 PECOS PAC ID: 3173050705 Enrollment ID: I20241220002132 |
Provider Name | Nakiah Janae Wilcox |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1669209052 PECOS PAC ID: 6709306244 Enrollment ID: I20250227000275 |
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