MEDICARE: ARNESHA GATES

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	101YM0800X	Mental Health Counselor
2	106S00000X	Behavior Technician
3	3747P1801X	Personal Care Attendant
4	376K00000X	Nurse's Aide

General Provider Information

NPI Number	:	1912685512
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ARNESHA GATES

Provider Business Mailing Address
First Line	:	1364 WOODMILL TRCE
Second Line	:
City	:	POWDER SPRINGS
State	:	GA
Zip	:	30127-1084
Country	:	US
Telephone Number	:	678-468-8229
Fax Number	:

Provider Business Practice Location Address
First Line	:	1364 WOODMILL TRCE
Second Line	:
City	:	POWDER SPRINGS
State	:	GA
Zip	:	30127-1084
Country	:	US
Telephone Number	:	678-468-8229
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/05/2023
Last Update Date	:	07/05/2023

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Directions to “ ARNESHA GATES ” Practice Location

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