Organization
GEORGIA MOUNTAINS COMMUNITY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KAREN R TUCKER (BILLING MANAGER)
(678) 513-5733
Entity
Organization
Contact information
Practice address
915 INTERSTATE RIDGE DR, SUITE G, GAINESVILLE, GA 30501-7076
(678) 207-1800
Mailing address
4331 THURMOND TANNER RD, FLOWERY BRANCH, GA 30542-2829
(678) 513-5700
(678) 513-5836
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000600795Z
—
GA
Enumeration date
08/30/2006
Last updated
03/08/2010
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