Favor Bofotola-akemba, LCSW | |
4807 Hillside Ct, Powder Springs, GA 30127-3893 | |
(678) 799-0647 | |
Not Available |
Full Name | Favor Bofotola-akemba |
---|---|
Gender | Female |
Speciality | Social Worker - Clinical |
Location | 4807 Hillside Ct, Powder Springs, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1265829790 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | CSW007545 (Georgia) | Primary |
104100000X | Social Worker | MSW006157 (Georgia) | Secondary |
Entity Name | Victory Health Care Services 1 Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1871249920 PECOS PAC ID: 7810359841 Enrollment ID: O20230808002759 |
Mailing Address | Practice Location Address |
---|---|
Favor Bofotola-akemba, LCSW 4807 Hillside Ct, Powder Springs, GA 30127-3893 Ph: (678) 799-0647 | Favor Bofotola-akemba, LCSW 4807 Hillside Ct, Powder Springs, GA 30127-3893 Ph: (678) 799-0647 |
Linda Hobson, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3731 Lockerbie Ln, Powder Springs, GA 30127 Phone: 678-522-8092 | |
Ms. Rhonda Yvette Watson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4175 Defoors Farm Dr, Powder Springs, GA 30127 Phone: 410-499-0743 | |
Beverly F Luke, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3755 Lockerbie Ln, Powder Springs, GA 30127 Phone: 678-471-8367 | |
Chartia Byrdsong-flowers, LCSW, CADC II Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 4776 Rollins Dr Unit 116, Powder Springs, GA 30127 Phone: 470-818-8648 | |
Mrs. Grachelle Alyce Sherburne, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5241 Cherry Hill Ln, Powder Springs, GA 30127 Phone: 770-549-6997 | |
Mrs. Virginia A Goldstein, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6039 Armor Dr, Powder Springs, GA 30127 Phone: 678-773-7596 |