Conchata S Richards, MS, LPC, NCC | |
3645 Marketplace Blvd Ste 130-33, East Point, GA 30344-5747 | |
(470) 485-8118 | |
Not Available |
Full Name | Conchata S Richards |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 3645 Marketplace Blvd Ste 130-33, East Point, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1326411596 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | LPC012235 (Georgia) | Primary |
Entity Name | Grady Memorial Hospital Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1114243813 PECOS PAC ID: 7517032998 Enrollment ID: O20100723000311 |
Mailing Address | Practice Location Address |
---|---|
Conchata S Richards, MS, LPC, NCC 2900 Laurel Ridge Way Apt 2206, East Point, GA 30344-8002 Ph: (770) 715-2130 | Conchata S Richards, MS, LPC, NCC 3645 Marketplace Blvd Ste 130-33, East Point, GA 30344-5747 Ph: (470) 485-8118 |
Mrs. Ebonny Mills, LPC, NCC, MAC Counselor Medicare: Medicare Enrolled Practice Location: 3465 N Desert Dr Ste 104, East Point, GA 30344 Phone: 404-228-6650 | |
Alicia M. Mercer, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3645 Marketplace Blvd, Ste 130-626, East Point, GA 30344 Phone: 404-558-6758 Fax: 404-600-6694 | |
Miss Barbara Johnae Moorer, MA, CADCII, ICADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2872 Church St, East Point, GA 30344 Phone: 404-310-1133 Fax: 888-830-5578 | |
Laresha Foster, M.A., L.M.S.W., CAMS Counselor Medicare: Not Enrolled in Medicare Practice Location: 1100 Cleveland Ave, East Point, GA 30344 Phone: 404-564-7063 | |
Candace Avril Richardson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1930 Taylor Ave, East Point, GA 30344 Phone: 781-330-1861 | |
Betty B Williams, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 1636 Connally Dr, East Point, GA 30344 Phone: 404-762-4042 | |
Mr. Kenneth Allen Walker, CAMS, CPRP Counselor Medicare: Not Enrolled in Medicare Practice Location: 2675 N Martin St, Bldg #700, East Point, GA 30344 Phone: 404-321-6111 Fax: 404-327-4028 |