Benjamin R Gatliff, MS, LPC | |
700 Westpark Dr Ste 200, Peachtree City, GA 30269-1620 | |
(678) 786-2413 | |
Not Available |
Full Name | Benjamin R Gatliff |
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Gender | Male |
Speciality | Counselor - Professional |
Location | 700 Westpark Dr Ste 200, Peachtree City, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1316276645 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | LPC004761 (Georgia) | Primary |
101YM0800X | Counselor - Mental Health | 004761 (Georgia) | Secondary |
Entity Name | Middle Flint Area Community Service Board |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366521932 PECOS PAC ID: 3274426150 Enrollment ID: O20040204000828 |
Mailing Address | Practice Location Address |
---|---|
Benjamin R Gatliff, MS, LPC 415 N Jackson St, Po Drawer 1348, Americus, GA 31709-3015 Ph: (229) 931-2470 | Benjamin R Gatliff, MS, LPC 700 Westpark Dr Ste 200, Peachtree City, GA 30269-1620 Ph: (678) 786-2413 |
Abigail Drew Abel, Counselor Medicare: Not Enrolled in Medicare Practice Location: 211 Prime Pt, Building 2 Suite D, Peachtree City, GA 30269 Phone: 678-788-6025 | |
Keishla Suazo-padilla, Counselor Medicare: Not Enrolled in Medicare Practice Location: 200 Westpark Dr Ste 325, Peachtree City, GA 30269 Phone: 770-632-5444 | |
Tonya Gilmore, Counselor Medicare: Not Enrolled in Medicare Practice Location: 317 Welton Way, Peachtree City, GA 30269 Phone: 678-852-8024 | |
Ann Davidson Sheerin, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 200 Westpark Dr Ste 130, Peachtree City, GA 30269 Phone: 404-747-7709 | |
Sathiya Priya Palanisamy, Counselor Medicare: Not Enrolled in Medicare Practice Location: 6000 Shakerag Hl Ste 314, Peachtree City, GA 30269 Phone: 404-977-6712 | |
Crystal Johnson, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1303 Commerce Dr, Peachtree City, GA 30269 Phone: 770-862-6088 | |
Ashley Ann Bonvillain, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 23 Eastbrook Bnd, Suite 200, Peachtree City, GA 30269 Phone: 770-486-1140 Fax: 678-669-2693 |