Cailla Grizzle, | |
145 Howard Ln, Fayetteville, GA 30215-1848 | |
(706) 616-7172 | |
Not Available |
Full Name | Cailla Grizzle |
---|---|
Gender | Female |
Speciality | Counselor - Mental Health |
Location | 145 Howard Ln, Fayetteville, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1134882160 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | APC008199 (Georgia) | Primary |
Entity Name | Discovery Counseling And Assessment Center, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629439617 PECOS PAC ID: 5092014175 Enrollment ID: O20160422002120 |
Mailing Address | Practice Location Address |
---|---|
Cailla Grizzle, 145 Howard Ln, Fayetteville, GA 30215-1848 Ph: (706) 616-7172 | Cailla Grizzle, 145 Howard Ln, Fayetteville, GA 30215-1848 Ph: (706) 616-7172 |
Melissa Stone Martinez, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 175 Bradford Sq Ste D, Fayetteville, GA 30215 Phone: 678-964-6023 | |
Keisha L White, ED.S, NCC,LAPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 500 Lanier Ave W Ste 103b, Fayetteville, GA 30214 Phone: 404-800-4002 | |
Ms. Lauren Marlena Givens, CRC, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 144 Brogdon Rd, Fayetteville, GA 30214 Phone: 984-255-4841 | |
Albert B Fisher, LPC Counselor Medicare: Medicare Enrolled Practice Location: 101 Rainbow Way, Fayetteville, GA 30214 Phone: 678-489-6017 | |
Ms. Marilyn Catherine Roberts, M.S. LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 500 W Lanier Ave, Suite 508, Fayetteville, GA 30214 Phone: 678-817-6600 Fax: 678-817-6333 | |
Vanessa J Hobbs, Counselor Medicare: Not Enrolled in Medicare Practice Location: 125 Wesley Pl, Fayetteville, GA 30214 Phone: 404-387-0564 | |
Ms. Anne Marie Cook, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 115 Habersham Dr, Fayetteville, GA 30214 Phone: 770-461-9944 Fax: 770-461-9779 |