Annika Marie Russaw, MS | |
3415 Old Highway 41, Suite 750, Kennesaw, GA 30144-1028 | |
(678) 574-8313 | |
Not Available |
Full Name | Annika Marie Russaw |
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Gender | Female |
Speciality | Counselor - Mental Health |
Location | 3415 Old Highway 41, 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 |
---|---|---|---|
1184056608 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Entity Name | Vitae Health Medical Georgia Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1184320574 PECOS PAC ID: 4183079577 Enrollment ID: O20231004002138 |
Mailing Address | Practice Location Address |
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Annika Marie Russaw, MS 3415 Old Highway 41, Suite 750, Kennesaw, GA 30144-1028 Ph: () - | Annika Marie Russaw, MS 3415 Old Highway 41, Suite 750, Kennesaw, GA 30144-1028 Ph: (678) 574-8313 |
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 |