Gracepoint Counseling Associates

NPI 1487705091 - Psychologist - 103TC0700X

NPI Details
NPI 1487705091
Enumeration Date 01/12/2007
Last Updated 11/29/2011
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name MICHAEL J. MICHAEL
Position MEMBER
Phone (770) 638-1577
Fax
Practice Location
620 HILLCREST RD NW
SUITE 300
LILBURN GA, 30047-6892, US
Phone (770) 638-1577
Fax
Business Location
620 HILLCREST RD NW
SUITE 300
LILBURN GA, 30047-6892, US
Phone (770) 638-1577
Fax
Toxanomy
Taxonomy Code 103TC0700X
License State Georgia
License Number 558 AND 1823
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According to our database, Gracepoint Counseling Associates NPI is 1487705091, taxonomy code is 103TC0700X and license number is 558 AND 1823, license state is located at Georgia. Gracepoint Counseling Associates physically located at 620 Hillcrest Rd Nw, Lilburn GA, 30047-6892. NPI Number 1033115704 has the healthcare provider type.

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1487705091 NPI number is provided on an as is basis without warranty of any kind. 1487705091 is maintained by the National Plan & Provider Enumeration System. The contents of Gracepoint Counseling Associates are for informational purposes only.