Ann Gillman, LCSW | |
4720 Peachtree Industrial Blvd Ste 4101, Berkeley Lake, GA 30071-5737 | |
(404) 919-8496 | |
Not Available |
Full Name | Ann Gillman |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 4720 Peachtree Industrial Blvd Ste 4101, Berkeley Lake, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1407588122 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1041C0700X | Social Worker - Clinical | CSW008137 (Georgia) | Primary |
Entity Name | Living Balance Psychotherapy Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1265149835 PECOS PAC ID: 7214307990 Enrollment ID: O20221222000481 |
Mailing Address | Practice Location Address |
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Ann Gillman, LCSW 3470 Mcclure Bridge Rd Unit 2511, Duluth, GA 30096-1125 Ph: () - | Ann Gillman, LCSW 4720 Peachtree Industrial Blvd Ste 4101, Berkeley Lake, GA 30071-5737 Ph: (404) 919-8496 |
Ms. Doreen R Church, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4530 S Berkeley Lake Rd, Ste B, Berkeley Lake, GA 30071 Phone: 678-662-0029 Fax: 770-446-5643 | |
Kate Murphy, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4530 S Berkeley Lake Rd, Berkeley Lake, GA 30071 Phone: 678-348-6017 |