Tracy Dwyer, | |
1911 Grayson Hwy Ste 8-242, Grayson, GA 30017-1245 | |
(678) 632-4995 | |
Not Available |
Full Name | Tracy Dwyer |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 1911 Grayson Hwy Ste 8-242, Grayson, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1225725112 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Entity Name | Butterfly Development, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1588140859 PECOS PAC ID: 8820442890 Enrollment ID: O20230925001913 |
Mailing Address | Practice Location Address |
---|---|
Tracy Dwyer, 1911 Grayson Hwy Ste 8-242, Grayson, GA 30017-1245 Ph: (678) 632-4995 | Tracy Dwyer, 1911 Grayson Hwy Ste 8-242, Grayson, GA 30017-1245 Ph: (678) 632-4995 |
Ashley Moriah Roberts Gibbs, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1019 Lakeview Rd, Grayson, GA 30017 Phone: 678-209-3449 Fax: 678-209-3449 | |
Zachary Johnston, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 406 Copeland St, Grayson, GA 30017 Phone: 678-410-9305 | |
Crystal Carithers, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 2086 Leafmore Ct, Grayson, GA 30017 Phone: 706-380-4392 | |
Danielle Deane, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1655 Grayson Hwy Apt 6307, Grayson, GA 30017 Phone: 404-803-1439 | |
Ms. Rae Lynne Mattis, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: The Center For Therapeutic Arts, 2037 Rosebud Road, Grayson, GA 30017 Phone: 770-962-9597 Fax: 770-279-7588 | |
Seymone Porter, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 35 Kaktovic Ct, Grayson, GA 30017 Phone: 404-542-5565 Fax: 678-395-5605 |