Chris Beam, LPC | |
1605b E Shotwell St, Bainbridge, GA 39819-4347 | |
(229) 243-1633 | |
Not Available |
Full Name | Chris Beam |
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Gender | Male |
Speciality | Counselor - Professional |
Location | 1605b E Shotwell St, Bainbridge, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1770608952 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | LPC004327 (Georgia) | Primary |
Entity Name | Samaritan Counseling Center Of Southwest Georgia, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669651212 PECOS PAC ID: 1557628336 Enrollment ID: O20171204000887 |
Mailing Address | Practice Location Address |
---|---|
Chris Beam, LPC 1605b E Shotwell St, Bainbridge, GA 39819-4347 Ph: (229) 243-1633 | Chris Beam, LPC 1605b E Shotwell St, Bainbridge, GA 39819-4347 Ph: (229) 243-1633 |
David Lee Breault, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1005 S Washington St, Bainbridge, GA 39819 Phone: 229-248-2683 | |
Pauline Maxwell, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 111 S Monroe St Apt C, Bainbridge, GA 39817 Phone: 229-220-7348 | |
Kathryn Culverson Coe, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 102 N Broad St, Bainbridge, GA 39817 Phone: 229-416-4737 | |
Linda Turral, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 208 S Broad St, Bainbridge, GA 39817 Phone: 229-243-1633 Fax: 229-243-9446 | |
Regina W Holley, LPC Counselor Medicare: Medicare Enrolled Practice Location: 411 Bainbridge St, Bainbridge, GA 39819 Phone: 229-220-5786 | |
Ms. Tina Fleming, CPCS, LPC, CRC Counselor Medicare: Not Enrolled in Medicare Practice Location: 617 S West St, Bainbridge, GA 39819 Phone: 229-246-9050 | |
Mr. Marty Dewayne Brock, M.A., CCAADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 214 Prosperity Church Rd, Bainbridge, GA 39817 Phone: 229-220-2275 |