Tia Jimenez | Atlanta, GA • PECOS Search

Tia Jimenez

Counselor

Behavioral Health & Social Service Providers

2870 Peachtree Rd NW # 915-1980, Atlanta, GA 30305-2918

PECOS Enrollment

Based on the most recent information from CMS, provider Tia Jimenez does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 11:47 AM.

Profile Details

Provider ID
1174067789
Provider Type
Individual
Full Name
Jimenez, Tia
Gender
Female

Sole Proprietor
Yes
Enumeration Date
12/15/2016
Last Updated
11/21/2024

Contact Information

Practice Location

2870 Peachtree Rd NW # 915-1980, Atlanta, GA 30305-2918

Unlisted Fax

Mailing Location

2870 Peachtree Rd NW # 915-1980, Atlanta, GA 30305-2918

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 101YM0800X Primary	Description Counselor Behavioral Health & Social Service Providers	License 0