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NPI Code Detail

MEDICARE: COUNSELING CRISIS AND CARING, LLC

MEDICARE: COUNSELING CRISIS AND CARING, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1302R00000XHealth Maintenance Organization15015001GA

General Provider Information

NPI Number : 1295108140
Entity Type Code : Organization
Provider Name (Legal Business Name) : COUNSELING CRISIS AND CARING, LLC
Provider Business Mailing Address
First Line : 3330 CUMBERLAND BLVD SE STE 500
Second Line :
City : ATLANTA
State : GA
Zip : 30339-5997
Country : US
Telephone Number : 770-933-6222
Fax Number : 404-228-6597
Provider Business Practice Location Address
First Line : 3330 CUMBERLAND BLVD SE STE 500
Second Line :
City : ATLANTA
State : GA
Zip : 30339-5997
Country : US
Telephone Number : 770-933-6222
Fax Number : 404-228-6597
Authorized Official
Title or Position : CEO
Name : CRESTRE MERITA BODDY
Credential : MSW
Telephone Number : 770-310-3257
Provider Enumeration Date : 10/31/2015
Last Update Date : 10/31/2015

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Directions to “COUNSELING CRISIS AND CARING, LLC ” Practice Location

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