Brenda Brunston, | |
3303 Noble Vines Dr # 171, Buford, GA 30519-6131 | |
(229) 561-0772 | |
Not Available |
Full Name | Brenda Brunston |
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Gender | Female |
Speciality | Counselor - Mental Health |
Location | 3303 Noble Vines Dr # 171, Buford, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1245984210 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | LPC013001 (Georgia) | Primary |
Entity Name | Northeast Georgia Psychological Services Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1407230410 PECOS PAC ID: 1850600891 Enrollment ID: O20151014001687 |
Mailing Address | Practice Location Address |
---|---|
Brenda Brunston, 5856 Union Rd, Hahira, GA 31632-4219 Ph: (229) 561-0772 | Brenda Brunston, 3303 Noble Vines Dr # 171, Buford, GA 30519-6131 Ph: (229) 561-0772 |
Mrs. Mary Linda Ellis, L.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 2070 Buford Hwy, Ste 2-d, Buford, GA 30518 Phone: 770-271-9442 Fax: 770-271-8939 | |
Delancey Fortin, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 1400 Buford Hwy Ste C1, Buford, GA 30518 Phone: 470-326-5455 | |
Mrs. Katie Collier Richard, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4330 S Lee St Ste 600-a, Buford, GA 30518 Phone: 770-648-2500 | |
Mrs. Lauren Michelle Gould, LPC, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4330 S Lee St Ste 600-a, Buford, GA 30518 Phone: 770-617-6023 | |
Daniele Marie Fleming, Counselor Medicare: Not Enrolled in Medicare Practice Location: 359 Peevy St, Buford, GA 30518 Phone: 770-271-5040 | |
Teairah Wilbert, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4315 S Lee St Ste 100, Buford, GA 30518 Phone: 770-648-2500 | |
Charles Luther, MS, LPC, CRC, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4330 S Lee St Ste 800a, Buford, GA 30518 Phone: 678-866-4065 |