| Champagnae Smith, | |
|
110 Evans Mill Dr, Dallas, GA 30157-1622 | |
| (215) 475-1327 | |
| Not Available |
| Full Name | Champagnae Smith |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 110 Evans Mill Dr, Dallas, Georgia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699483222 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Champagnae Smith, 8802 Valencia Rose, Douglasville, GA 30134-1675 Ph: (215) 475-1327 | Champagnae Smith, 110 Evans Mill Dr, Dallas, GA 30157-1622 Ph: (215) 475-1327 |
Mary Elizabeth Krusac, Counselor Medicare: Not Enrolled in Medicare Practice Location: 118 Birch River Ct, Dallas, GA 30132 Phone: 678-744-8417 | |
Mr. Joseph Baisden Mickler Iii, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 110 Evans Mill Dr, #305, Dallas, GA 30157 Phone: 770-445-6358 Fax: 770-445-7262 | |
Amanda D Lloyd, APC, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 75 Log Cabin Dr Apt 706, Dallas, GA 30157 Phone: 770-410-8353 | |
Kenneth Rowell, CAC II Counselor Medicare: Not Enrolled in Medicare Practice Location: 2713 Charles Hardy Pkwy Ste 233, Dallas, GA 30157 Phone: 855-641-1379 | |
Ms. Christine J. Mezza, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2260 Gold Mine Rd, Dallas, GA 30157 Phone: 678-978-0464 Fax: 770-505-3190 | |
Jeanine Carson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 311 White Ingram Pkwy, Dallas, GA 30132 Phone: 678-363-7447 | |
Diana Keys, Counselor Medicare: Not Enrolled in Medicare Practice Location: 110 Evans Mill Dr, Dallas, GA 30157 Phone: 678-395-1933 |