| Stowe Behavioral Health | |
|
969 Mcdonald Rd Covington GA 30014-5761 | |
| (470) 410-8784 | |
| (470) 410-8705 |
| Full Name | Stowe Behavioral Health |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 969 Mcdonald Rd, Covington, Georgia |
| Authorized Official Name and Position | Kaitlyn Mcmillian (CO-OWNER) |
| Authorized Official Contact | 4704108784 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Stowe Behavioral Health Po Box 7032 Chestnut Mountain GA 30502-0032 | Stowe Behavioral Health 969 Mcdonald Rd Covington GA 30014-5761 Ph: (470) 410-8784 |
| NPI Number | 1104646116 |
|---|---|
| Provider Enumeration Date | 10/14/2024 |
| Last Update Date | 10/14/2024 |
| Certification Date | 10/14/2024 |
| Medicare PECOS PAC ID | 4082144191 |
|---|---|
| Medicare Enrollment ID | O20250204003983 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104646116 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | () | Secondary |
| 363LF0000X | Nurse Practitioner - Family | () | Primary |
| Provider Name | Jennifer Stowe |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417189705 PECOS PAC ID: 9739474099 Enrollment ID: I20160825000754 |
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