Theresa Land, LCSW | |
2484 Memorial Dr, Waycross, GA 31503-6336 | |
(912) 548-2099 | |
Not Available |
Full Name | Theresa Land |
---|---|
Gender | Female |
Speciality | Clinical Social Worker |
Experience | 24 Years |
Location | 2484 Memorial Dr, Waycross, Georgia |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1134644578 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | CSW004715 (Georgia) | Primary |
Entity Name | Joshua Tree Counseling Center, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710525472 PECOS PAC ID: 5799106712 Enrollment ID: O20200529002585 |
Mailing Address | Practice Location Address |
---|---|
Theresa Land, LCSW 815 Orchard Ln, Waycross, GA 31501-7547 Ph: (912) 548-2099 | Theresa Land, LCSW 2484 Memorial Dr, Waycross, GA 31503-6336 Ph: (912) 548-2099 |
Natasha Williams Herrin, LSCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1007 Mary St, Waycross, GA 31503 Phone: 912-449-7100 | |
Taylor Marie Strickland, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1003 Mary St, Waycross, GA 31503 Phone: 912-449-7100 | |
Mrs. Laneshia Natoria Cooper, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 702 Ossie Davis Pkwy, Waycross, GA 31501 Phone: 912-550-8838 | |
Tiffany Henderson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1007 Mary St, Waycross, GA 31503 Phone: 912-449-7100 | |
Melissa Guthrie-thomas, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1007 Mary St, Waycross, GA 31503 Phone: 912-449-7100 | |
Deborah Maine, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 515 City Blvd Ste B, Waycross, GA 31501 Phone: 912-279-4400 Fax: 912-449-4448 |