Annuradha Vijayvargiya, | |
5041 Dallas Hwy Ste 402, Powder Springs, GA 30127-6458 | |
(678) 354-5594 | |
Not Available |
Full Name | Annuradha Vijayvargiya |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 5041 Dallas Hwy Ste 402, Powder Springs, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1912348921 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | LPC007381 (Georgia) | Primary |
Entity Name | Personal Recovery Network Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881990869 PECOS PAC ID: 5092611384 Enrollment ID: O20120110000096 |
Mailing Address | Practice Location Address |
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Annuradha Vijayvargiya, 2143 Leatherstone Dr, Powder Springs, GA 30127-7038 Ph: (574) 229-1485 | Annuradha Vijayvargiya, 5041 Dallas Hwy Ste 402, Powder Springs, GA 30127-6458 Ph: (678) 354-5594 |
Kinsey Thomas, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4866 Brown Leaf Dr, Powder Springs, GA 30127 Phone: 678-231-4359 | |
Dr. Corlissa J Wilson, ED.D, LPC, NCC, NCSC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3217 Warren Creek Dr, Powder Springs, GA 30127 Phone: 404-435-3388 | |
Daryel Lorenzo Scott Sr., Counselor Medicare: Not Enrolled in Medicare Practice Location: 5227 Rosetrace Ter, Powder Springs, GA 30127 Phone: 678-524-4993 | |
Heidi Castaneda, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 5041 Dallas Hwy, Suite 402, Powder Springs, GA 30127 Phone: 678-354-5594 | |
Robert Joseph Deletis, CADC II Counselor Medicare: Not Enrolled in Medicare Practice Location: 1115 Crestworth Crossing, Powder Springs, GA 30127 Phone: 347-672-7199 | |
Mrs. Cecelia J Myers, MA, NCC, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 986 Oakleigh Manor Ct, Powder Springs, GA 30127 Phone: 404-353-9992 Fax: 866-518-6793 | |
Cathy Sharp, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3721 New Macland Rd Ste 200-152, Powder Springs, GA 30127 Phone: 770-322-4628 |