MEDICARE: PERSON TO PERSON CONSULTING, INC.

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
1	261QM0850X	Adult Mental Health Clinic/Center
2	261QR0405X	Substance Use Disorder Rehabilitation Clinic/Center	075-491-D	GA

General Provider Information

NPI Number	:	1184753543
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PERSON TO PERSON CONSULTING, INC.

Provider Business Mailing Address
First Line	:	35 ATLANTA ST STE 2B
Second Line	:
City	:	MCDONOUGH
State	:	GA
Zip	:	30253-2162
Country	:	US
Telephone Number	:	770-898-1155
Fax Number	:	770-898-8335

Provider Business Practice Location Address
First Line	:	35 ATLANTA ST STE 2B
Second Line	:
City	:	MCDONOUGH
State	:	GA
Zip	:	30253-2162
Country	:	US
Telephone Number	:	770-898-1155
Fax Number	:	770-898-8335

Authorized Official
Title or Position	:	CLINICAL DIRECTOR/EXECUTIVE DIRECTO
Name	:	KELLY CAMARATA WARNER
Credential	:	LPC
Telephone Number	:	770-898-1155

Provider Enumeration Date	:	03/03/2007
Last Update Date	:	04/11/2018

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