Darrell M Brooks, | |
5524 Old National Hwy, Ste B, College Park, GA 30349-3212 | |
(404) 763-8555 | |
(404) 763-8502 |
Full Name | Darrell M Brooks |
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Gender | Male |
Speciality | Counselor - Professional |
Location | 5524 Old National Hwy, College Park, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1477800993 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | LPC006201 (Georgia) | Primary |
Entity Name | Thrive Counseling Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215181300 PECOS PAC ID: 0749458420 Enrollment ID: O20120504000149 |
Mailing Address | Practice Location Address |
---|---|
Darrell M Brooks, 4132 Atlanta Hwy, Ste 110-224, Loganville, GA 30052-4930 Ph: (678) 288-6550 | Darrell M Brooks, 5524 Old National Hwy, Ste B, College Park, GA 30349-3212 Ph: (404) 763-8555 |
Lashonda Lane, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3729 Main St, College Park, GA 30337 Phone: 470-610-1754 | |
Andre Griggs, LAPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3480 Main St, College Park, GA 30337 Phone: 404-762-9190 Fax: 404-762-9101 | |
Denniesha Andrene Knight, Counselor Medicare: Not Enrolled in Medicare Practice Location: 5534 Old National Hwy Ste 150, College Park, GA 30349 Phone: 470-334-8917 Fax: 404-529-4473 | |
Kira S Bradley, CACII Counselor Medicare: Not Enrolled in Medicare Practice Location: 5524 Old National Hwy, College Park, GA 30349 Phone: 404-763-8555 Fax: 404-763-8502 | |
Faye Ann Buffaloe, CAC II, CCS Counselor Medicare: Not Enrolled in Medicare Practice Location: 4854 Old National Hwy, Suite 226, College Park, GA 30337 Phone: 404-312-7862 Fax: 770-774-1039 | |
Dr. Tamara Brown Payne, PHD, CRC, LPC, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1882 Princeton Ave, Suite 9, College Park, GA 30337 Phone: 678-773-3058 Fax: 866-742-4145 | |
Miss Marcia D Jones, M.S., NCC, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3557 Main St, College Park, GA 30337 Phone: 404-992-7132 |