Abigail Doreen Miller, | |
6095 Pine Mountain Rd Nw Ste 105, Kennesaw, GA 30152-3332 | |
(678) 217-7529 | |
Not Available |
Full Name | Abigail Doreen Miller |
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Gender | Female |
Speciality | Counselor - Mental Health |
Location | 6095 Pine Mountain Rd Nw Ste 105, Kennesaw, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1669008033 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Entity Name | Upper Bay Counseling & Support Services, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316912652 PECOS PAC ID: 3971405085 Enrollment ID: O20040121000129 |
Mailing Address | Practice Location Address |
---|---|
Abigail Doreen Miller, 200 Governors Ct Apt 2201, Cartersville, GA 30121-4322 Ph: (443) 207-6504 | Abigail Doreen Miller, 6095 Pine Mountain Rd Nw Ste 105, Kennesaw, GA 30152-3332 Ph: (678) 217-7529 |
Mr. Christopher M Hall, LMHC, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2332 Holden Way Nw, Kennesaw, GA 30144 Phone: 347-481-9074 | |
Theresa Cher Randall, APC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3745 Cherokee St Nw Ste 101, Kennesaw, GA 30144 Phone: 678-927-6471 | |
Kristi Thomas Howard, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2602 Summers St, Unit 200, Kennesaw, GA 30144 Phone: 770-883-2052 | |
Kimberly Marie Seheult, M ED, MHP, LAPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2055 Barrett Lakes Blvd, Apt 1402, Kennesaw, GA 30144 Phone: 404-693-1559 Fax: 404-745-0271 | |
Angela Marie Stephens Fowler, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1480 Falkirk Ln Nw, Kennesaw, GA 30152 Phone: 678-444-3859 | |
Joshua Martin, Counselor Medicare: Not Enrolled in Medicare Practice Location: 6095 Pine Mountain Rd Nw, Suite #105, Kennesaw, GA 30152 Phone: 678-217-7529 | |
Ms. Kaitlin Emily Reed, Counselor Medicare: Not Enrolled in Medicare Practice Location: 6095 Pine Mountain Rd Nw, Suite #105, Kennesaw, GA 30152 Phone: 678-217-7529 Fax: 770-966-8228 |