| Mrs Shantayia Neal Provost, LCSW | |
|
4595 Flat Willow Pl, Douglasville, GA 30135-8646 | |
| (404) 548-5761 | |
| Not Available |
| Full Name | Mrs Shantayia Neal Provost |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 4595 Flat Willow Pl, Douglasville, Georgia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689350084 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 184759-3102 (Utah) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Shantayia Neal Provost, LCSW 4595 Flat Willow Pl, Douglasville, GA 30135-8646 Ph: (404) 578-5761 | Mrs Shantayia Neal Provost, LCSW 4595 Flat Willow Pl, Douglasville, GA 30135-8646 Ph: (404) 548-5761 |
Alexis Averett, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 912 Meadowood Ln, Douglasville, GA 30135 Phone: 678-522-0119 | |
Michelle D. Wigley, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 8820 Hospital Dr, Douglasville, GA 30134 Phone: 770-947-3000 | |
Nikita Suzanne Morency, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 3492 Highway 5 Apt 101, Douglasville, GA 30135 Phone: 678-739-9348 | |
Melisa Sims, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5945 Double Birch, Douglasville, GA 30135 Phone: 770-401-2362 | |
Mrs. Pagrita Compagaris Fuller, MSW, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 8335 Office Park Dr, Douglasville, GA 30134 Phone: 678-324-0476 | |
Tammy Stoner, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6855 Creekwood Dr, Douglasville, GA 30135 Phone: 770-639-7719 | |
Mariah Corcoran, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 8514 Price Ave, Douglasville, GA 30134 Phone: 610-331-1690 |