Dr Lisa Monette Tait, LPC | |
5238 Ashley Dr Sw, Lilburn, GA 30047-6639 | |
(770) 356-0101 | |
(770) 925-0305 |
Full Name | Dr Lisa Monette Tait |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 5238 Ashley Dr Sw, Lilburn, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1083954192 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 007320 (Georgia) | Primary |
Entity Name | Lmt Enterprises Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1467883314 PECOS PAC ID: 8325484801 Enrollment ID: O20240306003084 |
Mailing Address | Practice Location Address |
---|---|
Dr Lisa Monette Tait, LPC 5238 Ashley Dr Sw, Lilburn, GA 30047-6639 Ph: (770) 356-0101 | Dr Lisa Monette Tait, LPC 5238 Ashley Dr Sw, Lilburn, GA 30047-6639 Ph: (770) 356-0101 |
Ameleo D Manuel, M.A. LPCA. NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4566 Lawrenceville Hwy Nw Ste 101, Lilburn, GA 30047 Phone: 770-217-7563 Fax: 770-818-5753 | |
Ms. Tinesha A Sallard, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 4388 Amberleaf Walk, Lilburn, GA 30047 Phone: 267-304-5909 | |
Dr. David S. White, PHD Counselor Medicare: Not Enrolled in Medicare Practice Location: 1025 Killian Hill Rd Sw Ste J, Lilburn, GA 30047 Phone: 857-277-3352 | |
Judi Michelle Winbush, LAPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1373 Crooked Tree Ct Sw, Lilburn, GA 30047 Phone: 404-452-0324 | |
Nicole Fuentes, LPC, LMHC, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 5440 Lawrenceville Hwy Nw, Lilburn, GA 30047 Phone: 678-802-9355 Fax: 678-802-9355 | |
Ms. Melodie Anne (or Desanto) Head, Counselor Medicare: Not Enrolled in Medicare Practice Location: 733 Village Creek Dr Sw, Lilburn, GA 30047 Phone: 770-381-1273 |