Ariam Ivette Pena, MA | |
4300 Jimmy Carter Blvd Apt 815, Norcross, GA 30093-5082 | |
(470) 351-8219 | |
Not Available |
Full Name | Ariam Ivette Pena |
---|---|
Gender | Female |
Speciality | Counselor - Professional |
Location | 4300 Jimmy Carter Blvd Apt 815, Norcross, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1437588837 | NPI | - | NPPES |
1303295 | Medicaid | MA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 0701013442 (Virginia) | Secondary |
101YP2500X | Counselor - Professional | LPC013366 (Georgia) | Primary |
Entity Name | Thrive Counseling Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215181300 PECOS PAC ID: 0749458420 Enrollment ID: O20120504000149 |
Mailing Address | Practice Location Address |
---|---|
Ariam Ivette Pena, MA 4300 Jimmy Carter Blvd Apt 815, Norcross, GA 30093-5082 Ph: (470) 351-8219 | Ariam Ivette Pena, MA 4300 Jimmy Carter Blvd Apt 815, Norcross, GA 30093-5082 Ph: (470) 351-8219 |
Dr. Reginald B. Riley, PH.D. Counselor Medicare: Not Enrolled in Medicare Practice Location: 8000 Miller Ct E, Norcross, GA 30071 Phone: 770-734-8091 Fax: 770-734-8094 | |
Dr. Anthony S Lewis, PHD Counselor Medicare: Not Enrolled in Medicare Practice Location: 5712 Pine Oak Dr, Norcross, GA 30092 Phone: 770-696-1549 | |
Tequila Olivia Banks, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 8303 Dunleaf Arc Way Nw, Norcross, GA 30093 Phone: 470-658-8156 | |
Mercianna R Oliver, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1780 Graves Rd Apt 514, Norcross, GA 30093 Phone: 404-493-3803 | |
Lan Chen, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3200 Pointe Pkwy, Suite 400, Peachtree Corners, Norcross, GA 30092 Phone: 678-259-9298 | |
Kenanesha Owens, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3040 Holcolmb Bridge Rd Suite J2, Norcross, GA 30071 Phone: 770-696-9231 | |
Diana L Woodruff, PHD Counselor Medicare: Not Enrolled in Medicare Practice Location: 4530 South Berkeley Lake Rd, Suite B, Norcross, GA 30071 Phone: 770-446-5642 Fax: 770-446-5643 |