Dr Elian Gomez Azcarate Renero, COMMUNITY SUPPORT IN is a
Counselor - Mental Health based in Lilburn, Georgia. Dr Elian Gomez Azcarate Renero is licensed to practice in * (Not Available) (license number ) and her current practice location is
1113 Staples Dr Sw, Lilburn, Georgia. She can be reached at her office (for appointments etc.) via phone at
(678) 983-1842.
NPI number for Dr Elian Gomez Azcarate Renero is 1215651385 and her current mailing address is 1113 Staples Dr Sw, Lilburn, Georgia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1215651385.
Healthcare Provider's Profile
Full Name | Dr Elian Gomez Azcarate Renero |
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Gender | Female |
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Speciality | Counselor - Mental Health |
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Location | 1113 Staples Dr Sw, Lilburn, Georgia |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1215651385
- Provider Enumeration Date: 10/03/2022
- Last Update Date: 10/03/2022
Medical Identifiers
Medical identifiers for Dr Elian Gomez Azcarate Renero such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1215651385 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Elian Gomez Azcarate Renero is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Elian Gomez Azcarate Renero, COMMUNITY SUPPORT IN 1113 Staples Dr Sw, Lilburn, GA 30047-2385 Ph: (678) 983-1842 | Dr Elian Gomez Azcarate Renero, COMMUNITY SUPPORT IN 1113 Staples Dr Sw, Lilburn, GA 30047-2385 Ph: (678) 983-1842 |
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