| Three Rivers Recovery and Wellness LLC | |
|
84 E Oakland Ave Camilla GA 31730-1529 | |
| (229) 336-9769 | |
| Not Available |
| Full Name | Three Rivers Recovery and Wellness LLC |
|---|---|
| Speciality | Psychologist |
| Location | 84 E Oakland Ave, Camilla, Georgia |
| Authorized Official Name and Position | Antonio Miller (PRESIDENT) |
| Authorized Official Contact | 2294496671 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Three Rivers Recovery and Wellness LLC 84 E Oakland Ave Camilla GA 31730-1529 | Three Rivers Recovery and Wellness LLC 84 E Oakland Ave Camilla GA 31730-1529 Ph: (229) 336-9769 |
| NPI Number | 1699664060 |
|---|---|
| Provider Enumeration Date | 07/01/2025 |
| Last Update Date | 02/04/2026 |
| Certification Date | 02/04/2026 |
| Medicare PECOS PAC ID | 1951818905 |
|---|---|
| Medicare Enrollment ID | O20250725001555 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699664060 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TA0400X | Psychologist - Addiction (substance Use Disorder) | () | Primary |
| Provider Name | Antonio Renaldo Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679041107 PECOS PAC ID: 1557794187 Enrollment ID: I20191211003010 |
| Provider Name | Vanessa Renee Christian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891520995 PECOS PAC ID: 2668977141 Enrollment ID: I20250925001583 |
Hope Behavioral Health & Addictive Disease Wellness Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 218 S Macarthur Dr, Camilla, GA 31730 Phone: 229-336-1702 Fax: 229-336-1701 |