Cassandra Conton, LPC | |
1803 Over Lake Dr Se, Suite C, Conyers, GA 30013-1789 | |
(770) 679-4043 | |
(770) 679-4915 |
Full Name | Cassandra Conton |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 1803 Over Lake Dr Se, Conyers, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1932344645 | NPI | - | NPPES |
202I688017 | Other | GA | MEDICARE- PTAN |
159828861A | Medicaid | GA | |
202G708017 | Other | GA | MEDICARE-GROUP PTAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | LPC004669 (Georgia) | Primary |
Entity Name | Raven Counseling Services, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043593791 PECOS PAC ID: 0042481061 Enrollment ID: O20110923000452 |
Mailing Address | Practice Location Address |
---|---|
Cassandra Conton, LPC 1803 Over Lake Dr Se, Suite C, Conyers, GA 30013-1789 Ph: (770) 679-4043 | Cassandra Conton, LPC 1803 Over Lake Dr Se, Suite C, Conyers, GA 30013-1789 Ph: (770) 679-4043 |
Mr. Solomon Berewa, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1000 Iris Dr Sw Ste D200, Conyers, GA 30094 Phone: 404-396-7890 | |
Angel Jocelin Haye, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2365 Wall St Se Ste 200-04, Conyers, GA 30013 Phone: 404-890-0125 | |
Crystal N. Broughton, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1775 Parker Rd Se Ste 210, Conyers, GA 30094 Phone: 470-967-8663 Fax: 678-218-4253 | |
Michelle M. Billups, Counselor Medicare: Not Enrolled in Medicare Practice Location: 977a Taylor St Sw, Conyers, GA 30012 Phone: 770-918-6677 | |
Dandrea R Sanders, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1780b Southgate Ln Se, Conyers, GA 30013 Phone: 470-207-2044 | |
Leroy Bryan, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1175 Green St Se, Conyers, GA 30012 Phone: 770-929-1470 | |
Debra Lavette Hanson, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3204 Quincey Xing, Conyers, GA 30013 Phone: 404-803-1127 |