Medallion Counseling and Consulting
Organization Active NPI Clinical Social Worker · Port Wentworth, GA
NPI 1689347304 · NPPES record last updated Jul 29, 2021
Key facts
- NPI
- 1689347304
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Social Worker 1041C0700X
- Legal business name
- MEDALLION COUNSELING AND CONSULTING
- Practice address
- 1332 Mulberry Boulevard
Apt. 20-205
Port Wentworth, GA 31407 - Phone
- (404) 509-5794
- NPI assigned
- Jul 28, 2021
- Organization subpart
- No
Authorized official
- Name
- Clayton Hunt, LCSW
- Title
- Owner
- Phone
- (404) 509-5794
Practitioners 1
-
Clayton Hunt, LCSW
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker |
1041C0700X | Yes |
Addresses
Primary practice location
1332 Mulberry Boulevard
Apt. 20-205
Port Wentworth, GA 31407
Mailing address
1332 Mulberry Boulevard
Apt. 20-205
Port Wentworth, GA 31407
Phone (404) 509-5794
Other providers in Port Wentworth, GA
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- Gwendolyn Renee Ladson
- Kylah Maxwell-Brown
- Meyty Mobile Labs
- Mobile Sonography
- Mobile Sonography
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- Shyanne Atocha Nourse
All providers in Port Wentworth, GA · Clinical Social Worker in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 29, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.