Dehia Graham, LPC | |
105 Warren Ave, Swainsboro, GA 30401-3645 | |
(478) 289-8147 | |
(478) 289-8148 |
Full Name | Dehia Graham |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 105 Warren Ave, Swainsboro, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1376082800 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | LPC009284 (Georgia) | Primary |
Entity Name | Lifesource Of North Carolina |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1962940817 PECOS PAC ID: 7416132428 Enrollment ID: O20170418000863 |
Mailing Address | Practice Location Address |
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Dehia Graham, LPC 105 Warren Ave, Swainsboro, GA 30401-3645 Ph: (478) 289-8147 | Dehia Graham, LPC 105 Warren Ave, Swainsboro, GA 30401-3645 Ph: (478) 289-8147 |
Keith Hutcheson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 207 N Anderson Dr, Swainsboro, GA 30401 Phone: 478-289-2486 Fax: 478-289-2798 | |
Shawna Marie Harlin-clifton, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 243 W Main St, Swainsboro, GA 30401 Phone: 478-237-2484 Fax: 478-237-7541 | |
Amber Kicklighter Edenfield, LAPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 207 N Anderson Dr, Swainsboro, GA 30401 Phone: 478-289-2619 Fax: 478-289-2622 | |
Durant Moses, PH.D Counselor Medicare: Not Enrolled in Medicare Practice Location: 221 E Pine St, Swainsboro, GA 30401 Phone: 678-421-4033 | |
Elbert F. Chambers, CACII Counselor Medicare: Not Enrolled in Medicare Practice Location: 207 N Anderson Dr, Swainsboro, GA 30401 Phone: 478-289-2619 Fax: 478-289-2622 | |
Leann Phillips Snellgrove, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 48 Gay Rd, Swainsboro, GA 30401 Phone: 478-299-6281 | |
Jean Morris, LAPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 223 N Anderson Dr, Swainsboro, GA 30401 Phone: 706-437-6863 |