Adam T Pancake, LPC | |
300 Medical Dr, Suite 705, Lagrange, GA 30240-4130 | |
(706) 885-0111 | |
(706) 885-0607 |
Full Name | Adam T Pancake |
---|---|
Gender | Male |
Speciality | Counselor - Mental Health |
Location | 300 Medical Dr, Lagrange, Georgia |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1619933694 | NPI | - | NPPES |
482784910A | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 003451 (Georgia) | Primary |
Mailing Address | Practice Location Address |
---|---|
Adam T Pancake, LPC 300 Medical Dr, Suite 705, Lagrange, GA 30240-4130 Ph: (706) 885-0111 | Adam T Pancake, LPC 300 Medical Dr, Suite 705, Lagrange, GA 30240-4130 Ph: (706) 885-0111 |
Martha Lynne Earley, Counselor Medicare: Not Enrolled in Medicare Practice Location: 122 Gordon Commercial Dr Ste C, Lagrange, GA 30240 Phone: 706-845-4054 Fax: 706-845-4367 | |
Mr. Walter Hue Scott Ii, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2233 West Point Rd., Lagrange, GA 30240 Phone: 706-837-0045 Fax: 706-837-0035 | |
Renonda Michelle Forney, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2233 W Point Rd, Lagrange, GA 30240 Phone: 706-837-0045 Fax: 706-837-0035 | |
Holly T Roberts, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1111 Mooty Bridge Rd, Lagrange, GA 30240 Phone: 706-443-5433 | |
Christopher Blake Glaze, Counselor Medicare: Not Enrolled in Medicare Practice Location: 122 Gordon Commercial Dr Ste C, Lagrange, GA 30240 Phone: 706-845-4045 | |
Elizabeth Billiter, M.ED Counselor Medicare: Not Enrolled in Medicare Practice Location: 122 C Gordon Commercial Dr, Lagrange, GA 30240 Phone: 706-845-4045 Fax: 706-845-4367 | |
Ms. Baxlee Bynum, M.ED, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 122 Gordon Commercial Dr, Lagrange, GA 30240 Phone: 706-845-4045 Fax: 706-845-4367 |