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NPI Code Detail

MEDICARE: GUIDING INNER ACTION

MEDICARE: GUIDING INNER ACTION
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
11041C0700XClinical Social WorkerCSW 3286GA

General Provider Information

NPI Number : 1366491219
Entity Type Code : Organization
Provider Name (Legal Business Name) : GUIDING INNER ACTION
Provider Business Mailing Address
First Line : PO BOX 265
Second Line :
City : DECATUR
State : GA
Zip : 30031-0265
Country : US
Telephone Number : 404-275-8352
Fax Number : 404-636-0080
Provider Business Practice Location Address
First Line : 1790 CENTURY BLVD NE
Second Line : SUITE A
City : ATLANTA
State : GA
Zip : 30345-3322
Country : US
Telephone Number : 404-275-8352
Fax Number : 404-636-0080
Authorized Official
Title or Position : MANAGER
Name : CHERI AUGUSTINE FLAKE
Credential : LCSW
Telephone Number : 404-275-8352
Provider Enumeration Date : 05/09/2006
Last Update Date : 08/22/2020

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Directions to “GUIDING INNER ACTION ” Practice Location

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