Michelle-dawne Huston, LCSW | |
4045 Five Forks Trickum Rd Sw Ste D17204, Lilburn, GA 30047-2538 | |
(404) 384-0564 | |
Not Available |
Full Name | Michelle-dawne Huston |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 4045 Five Forks Trickum Rd Sw Ste D17204, Lilburn, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1700552783 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 0904014261 (Virginia) | Secondary |
1041C0700X | Social Worker - Clinical | CSW007561 (Georgia) | Primary |
Entity Name | Crossroads Services Board |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1528091063 PECOS PAC ID: 4486649977 Enrollment ID: O20040415000364 |
Entity Name | Piedmont Regional Community Services Board |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1699754010 PECOS PAC ID: 0345215208 Enrollment ID: O20090319000311 |
Mailing Address | Practice Location Address |
---|---|
Michelle-dawne Huston, LCSW 4045 Five Forks Trickum Rd Sw Ste D17204, Lilburn, GA 30047-2538 Ph: (404) 384-0564 | Michelle-dawne Huston, LCSW 4045 Five Forks Trickum Rd Sw Ste D17204, Lilburn, GA 30047-2538 Ph: (404) 384-0564 |
Yvette Robinson, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 5239 Ashley Dr Sw, Lilburn, GA 30047 Phone: 706-406-3306 | |
Amy Murphy, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 680 Hillcrest Rd Nw Ste 400, Lilburn, GA 30047 Phone: 678-773-3037 | |
Brandon Montez Webb, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2884 Sawgrass Trl Sw, Lilburn, GA 30047 Phone: 770-866-7059 | |
Mrs. Nancy M Crews, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4851 Lula St Nw, Lilburn, GA 30047 Phone: 678-697-6049 | |
Tia L Warren, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 4566 Lawrenceville Hwy Nw Ste 101, Lilburn, GA 30047 Phone: 770-217-7563 | |
Dr. Elian Gomez Azcarate Renero, COMMUNITY SUPPORT IN Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1113 Staples Dr Sw, Lilburn, GA 30047 Phone: 678-983-1842 | |
Heather Hastings Smith, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 3917 Embassy Walk Ct, Lilburn, GA 30047 Phone: 678-698-8844 |