Amanda Lee, LPC | |
4087 Mill Creek Rd, Statesboro, GA 30461-7531 | |
(912) 531-2458 | |
Not Available |
Full Name | Amanda Lee |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 4087 Mill Creek Rd, Statesboro, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1942888649 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | LPC011637 (Georgia) | Primary |
Entity Name | Sondermind Provider Network Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760854442 PECOS PAC ID: 9537572490 Enrollment ID: O20210225002747 |
Mailing Address | Practice Location Address |
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Amanda Lee, LPC 4087 Mill Creek Rd, Statesboro, GA 30461-7531 Ph: () - | Amanda Lee, LPC 4087 Mill Creek Rd, Statesboro, GA 30461-7531 Ph: (912) 531-2458 |
Katharine Anne Mcgrory, M.S., LAPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 326 S Main St, Statesboro, GA 30458 Phone: 912-764-7001 | |
Raymond Selwyn Scott, CAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 326 Myrtle Crossing Dr Ste 300, Statesboro, GA 30458 Phone: 912-243-9310 Fax: 912-243-9311 | |
Joseph Folsom, Counselor Medicare: Not Enrolled in Medicare Practice Location: 27 S Main St, Statesboro, GA 30458 Phone: 912-225-3769 | |
Teresa Irene Winn, LPC, MAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 115 Northside Drive, Suite 115 West Park Professionals, Statesboro, GA 30458 Phone: 912-489-9802 Fax: 912-369-2030 | |
Ms. Amanda Jane Wadley, M.S., LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 102 S Zetterower Ave, Statesboro, GA 30458 Phone: 912-764-6731 Fax: 912-764-6789 | |
Mr. Jimmy Heath Browning, LPC, MAC, CBT, MRT Counselor Medicare: Not Enrolled in Medicare Practice Location: 1100 Brampton Ave Ste N, Statesboro, GA 30458 Phone: 912-266-9094 | |
Skyler Clark, Counselor Medicare: Not Enrolled in Medicare Practice Location: 27 S Main St, Statesboro, GA 30458 Phone: 912-225-3769 |