institution
Promedica, Inc.
Mental Health Counselor in Loganville, Georgia
NPI 1922036508

Promedica, Inc. is a Mental Health Counselor based in Loganville, GA and is specialized in Mental Health. Promedica, Inc. practices in Loganville, GA. The NPI Number for Promedica, Inc. is 1922036508 and holds a License No. 029689 (Georgia).

The current practice location address for Promedica, Inc. is 2430 Tucker Dr, Loganville, GA and can be reached out via phone at 770-554-8812 and via fax at 770-554-9810.

Location: 2430 Tucker Dr, Loganville, GA, 30052-4390
institution
Provider Profile Details
NPI Number
1922036508
Provider Name
Promedica, Inc.
Credential
Provider Entity Type
Organization
Address
2430 Tucker Dr, Loganville, GA, 30052-4390
Phone Number
770-554-8812
Fax Number
770-554-9810
Provider Enumeration Date
06/30/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00345408A 05 GA
institution
Provider Business Practice Location Address Details
Address
2430 Tucker Dr
City
State
Zip
30052-4390
Phone Number
770-554-8812
Fax Number
770-554-9810
person
Provider Business Mailing Address Details
Address
2430 Tucker Dr
City
State
Zip
30052-4390
Phone Number
770-554-8812
Fax Number
770-554-9810
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
029689 (Georgia)
Definition
Definition to come...
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