SearchGeorgia101YM0800X

Mary Joyce Bacon

NPI 1659146140 · on the registry since 2023 · sole proprietor

Practice

Address
215 Church St Ste 107
Decatur, GA 30030
Phone
(404) 861-2877
Fax
(855) 952-5859
Organisation at this address
Jada Tidwell, Inc
Heather Kotlerlcsw Mph Llc
Tidwell& Miller Counseling Services, Llc
Restore Counseling & Care Management, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
10

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Sex
Female
Record last updated
2023-11-15

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia