| Trident Counseling and Consultation, LLC | |
|
10 N Clarendon Ave Ste B Avondale Estates GA 30002-1165 | |
| (917) 319-3047 | |
| Not Available |
| Full Name | Trident Counseling and Consultation, LLC |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 10 N Clarendon Ave Ste B, Avondale Estates, Georgia |
| Authorized Official Name and Position | Julia Codrington (OWNER) |
| Authorized Official Contact | 9173193047 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Trident Counseling and Consultation, LLC 7377 Alden Ridge Rd Jonesboro GA 30236-7228 Ph: (917) 319-3047 | Trident Counseling and Consultation, LLC 10 N Clarendon Ave Ste B Avondale Estates GA 30002-1165 Ph: (917) 319-3047 |
| NPI Number | 1700459039 |
|---|---|
| Provider Enumeration Date | 07/23/2021 |
| Last Update Date | 07/23/2021 |
| Certification Date | 07/23/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700459039 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | () | Primary |
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