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NPI Code Detail

MEDICARE: ACCORDIA COUNSELING SOLUTIONS

MEDICARE: ACCORDIA COUNSELING SOLUTIONS
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
1101YP2500XProfessional CounselorLPC002250GA
21041C0700XClinical Social WorkerCSW000340GA
3103TC1900XCounseling PsychologistPSY001928GA

General Provider Information

NPI Number : 1518290857
Entity Type Code : Organization
Provider Name (Legal Business Name) : ACCORDIA COUNSELING SOLUTIONS
Provider Business Mailing Address
First Line : 115 HABERSHAM DR
Second Line :
City : FAYETTEVILLE
State : GA
Zip : 30214-7353
Country : US
Telephone Number : 770-461-9944
Fax Number : 770-461-9779
Provider Business Practice Location Address
First Line : 115 HABERSHAM DR
Second Line :
City : FAYETTEVILLE
State : GA
Zip : 30214-7353
Country : US
Telephone Number : 770-461-9944
Fax Number : 770-461-9779
Authorized Official
Title or Position : PRESIDENT
Name : DR. TIMOTHY AYCOCK
Credential : PH.D.
Telephone Number : 770-461-9944
Provider Enumeration Date : 09/17/2009
Last Update Date : 09/17/2009

Similar Medicare Providers

1992438568 — JEFFREY BENNETT LPC
Practice Location Address:
115 HABERSHAM DR
FAYETTEVILLE, GA
30214-7353
Practice Phone: 770-461-9944
Practice Fax:
1336200229 — DR. SUSAN HUGHES MAY PH.D.
Practice Location Address:
115 HABERSHAM DR
FAYETTEVILLE, GA
30214-7353
Practice Phone: 770-461-9944
Practice Fax: 770-461-9779
1952659641 — DR. KRISTEN J AYCOCK PH.D.
Practice Location Address:
115 HABERSHAM DR
FAYETTEVILLE, GA
30214-7353
Practice Phone: 770-461-9944
Practice Fax:
1043551427 — DR. KAREN DONNA BISGAY-DEHAN PSY.D.
Practice Location Address:
115 HABERSHAM DR
FAYETTEVILLE, GA
30214-7353
Practice Phone: 770-461-9944
Practice Fax: 770-461-9779
1184278343 — JOSHUA MUSTAIN
Practice Location Address:
115 HABERSHAM DR STE C
FAYETTEVILLE, GA
30214-7353
Practice Phone: 770-461-9944
Practice Fax:
1255950879 — MS. AMY DENISE WILLIAMS LPC
Practice Location Address:
115 HABERSHAM DR
FAYETTEVILLE, GA
30214-7353
Practice Phone: 770-461-9944
Practice Fax: 770-461-9779

Directions to “ACCORDIA COUNSELING SOLUTIONS ” Practice Location

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