Devondra Nolan, LPC | |
1650 County Services Pkwy Sw Ste 2000, Marietta, GA 30008-4010 | |
(770) 514-2464 | |
(770) 514-2806 |
Full Name | Devondra Nolan |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 1650 County Services Pkwy Sw Ste 2000, Marietta, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1023552494 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | APC005603 (Georgia) | Secondary |
101YP2500X | Counselor - Professional | LPC010813 (Georgia) | Primary |
Entity Name | Positive Impact Health Centers, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1790861995 PECOS PAC ID: 5496721987 Enrollment ID: O20040907000653 |
Mailing Address | Practice Location Address |
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Devondra Nolan, LPC 1650 County Services Pkwy Sw Ste 2000, Marietta, GA 30008-4010 Ph: (770) 514-2464 | Devondra Nolan, LPC 1650 County Services Pkwy Sw Ste 2000, Marietta, GA 30008-4010 Ph: (770) 514-2464 |
Daniella Atwell, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 2520 Windy Hill Rd Se Ste 203, Marietta, GA 30067 Phone: 770-953-6401 | |
Nia Jowan Grant, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2172 Asquith Ave Sw, Marietta, GA 30008 Phone: 678-488-7539 Fax: 770-439-0524 | |
Teresa Cress, M.A., LPC, LMFT, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2655 Dallas Hwy Sw, Suite 310, Marietta, GA 30064 Phone: 404-551-5265 | |
Vanessa Desir, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1355 Terrell Mill Rd Se, Bldg. 1460 Suite 205, Marietta, GA 30067 Phone: 404-439-9981 | |
Tania Van Rochelle-catoe, MS LPC NCC Counselor Medicare: Medicare Enrolled Practice Location: 376 Powder Springs St Ste 240a, Marietta, GA 30064 Phone: 678-444-4505 | |
Maria Edna Garcia, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4343 Shallowford Rd Ste C2, Marietta, GA 30062 Phone: 404-579-2833 Fax: 770-993-9800 | |
Frieda Wright, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1650 County Services Pkwy Sw, Marietta, GA 30008 Phone: 770-514-2422 Fax: 770-422-7545 |