Rebirth Counseling And Training Center | |
3120 S Martin St Ste 100 East Point GA 30344-4396 | |
(678) 705-5698 | |
Not Available |
Full Name | Rebirth Counseling And Training Center |
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Speciality | Clinic/Center |
Location | 3120 S Martin St Ste 100, East Point, Georgia |
Authorized Official Name and Position | Carolyn Harpe Waller (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 4048673093 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Rebirth Counseling And Training Center 3120 S Martin St Ste 100 East Point GA 30344-4396 Ph: (404) 867-3093 | Rebirth Counseling And Training Center 3120 S Martin St Ste 100 East Point GA 30344-4396 Ph: (678) 705-5698 |
NPI Number | 1932479755 |
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Provider Enumeration Date | 01/10/2012 |
Last Update Date | 03/05/2024 |
Medicare PECOS PAC ID | 4981847019 |
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Medicare Enrollment ID | O20130821000449 |
Identifier | Type | State | Issuer |
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1932479755 | NPI | - | NPPES |
Provider Name | Theodore Morgan |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1861602443 PECOS PAC ID: 5092984963 Enrollment ID: I20110810000183 |
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