Caitlin Rose Coop, | |
533 Bunchgrass St, Evans, GA 30809-0370 | |
(360) 791-8289 | |
Not Available |
Full Name | Caitlin Rose Coop |
---|---|
Gender | Female |
Speciality | Counselor - Mental Health |
Location | 533 Bunchgrass St, Evans, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1548838212 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | LGP9870 (Maryland) | Primary |
Entity Name | Sondermind Provider Network Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760854442 PECOS PAC ID: 9537572490 Enrollment ID: O20210908001372 |
Mailing Address | Practice Location Address |
---|---|
Caitlin Rose Coop, 533 Bunchgrass St, Evans, GA 30809-0370 Ph: (360) 791-8289 | Caitlin Rose Coop, 533 Bunchgrass St, Evans, GA 30809-0370 Ph: (360) 791-8289 |
Dr. Yulanda Williams, EDD, LPC, NCC, CRC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4453 Mcmanus Ct, Evans, GA 30809 Phone: 706-799-1549 Fax: 706-869-1954 | |
Mrs. Kristen M Dietert, CRC Counselor Medicare: Not Enrolled in Medicare Practice Location: 927 Hunting Horn Way W, Evans, GA 30809 Phone: 585-474-6278 | |
Meagan Philip, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 601 N Belair Sq Ste 2, Evans, GA 30809 Phone: 706-833-4895 Fax: 844-590-5819 | |
Rhoda Kimble-wheeler, CADC II, CCJP, US DO Counselor Medicare: Not Enrolled in Medicare Practice Location: 535 Laniers Way, Evans, GA 30809 Phone: 912-755-7257 | |
Mrs. Benedicta N Ejindu, MED Counselor Medicare: Not Enrolled in Medicare Practice Location: 5125 Wells Dr, Evans, GA 30809 Phone: 912-541-2801 | |
Amy Iseman, Counselor Medicare: Not Enrolled in Medicare Practice Location: 312 Connor Cir, Evans, GA 30809 Phone: 706-955-3427 | |
Marybeth Adams, LPC, NCC Counselor Medicare: Medicare Enrolled Practice Location: 752 Winding Creek Ct, Evans, GA 30809 Phone: 706-231-1383 |