Dariea Stewart, | |
495 Charles Hardy Pkwy, Dallas, GA 30157-5723 | |
(770) 445-2128 | |
Not Available |
Full Name | Dariea Stewart |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 495 Charles Hardy Pkwy, Dallas, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1649711151 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | LPC010962 (Georgia) | Primary |
Entity Name | Brightside Medical Of Michigan Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144800350 PECOS PAC ID: 9830562776 Enrollment ID: O20230404000719 |
Mailing Address | Practice Location Address |
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Dariea Stewart, 495 Charles Hardy Pkwy, Dallas, GA 30157-5723 Ph: (478) 335-2595 | Dariea Stewart, 495 Charles Hardy Pkwy, Dallas, GA 30157-5723 Ph: (770) 445-2128 |
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 | |
Khayla Smallwood, Counselor Medicare: Not Enrolled in Medicare Practice Location: 168 N Johnston St Ste 304, Dallas, GA 30132 Phone: 404-635-6253 | |
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 |