Grace M Blackwood, LPC | |
570 Windsor Way, Fairburn, GA 30213-6446 | |
(770) 365-3140 | |
(770) 703-7915 |
Full Name | Grace M Blackwood |
---|---|
Gender | Female |
Speciality | Undefined Non-physician Type (specify) |
Experience | 32 Years |
Location | 570 Windsor Way, Fairburn, Georgia |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1104071133 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | LPC004495 (Georgia) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Grady Memorial Hospital Corporation | 7517032998 | 262 |
Entity Name | Grady Memorial Hospital Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1114243813 PECOS PAC ID: 7517032998 Enrollment ID: O20100723000311 |
Mailing Address | Practice Location Address |
---|---|
Grace M Blackwood, LPC 570 Windsor Way, Fairburn, GA 30213-6446 Ph: (770) 365-3140 | Grace M Blackwood, LPC 570 Windsor Way, Fairburn, GA 30213-6446 Ph: (770) 365-3140 |
Shonda P Dallas, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 324 Breeze Mdw, Fairburn, GA 30213 Phone: 770-597-9746 Fax: 678-834-5154 | |
Mykieshia Ayaniah Serria Seigler, Counselor Medicare: Not Enrolled in Medicare Practice Location: 6173 Redtop Loop, Fairburn, GA 30213 Phone: 678-363-3562 | |
Shemaria Garcia, MS, LPC, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 6025 Capitol Knl, Fairburn, GA 30213 Phone: 404-919-8160 | |
Dr. Keziah Jones, PH.D. Counselor Medicare: Not Enrolled in Medicare Practice Location: 15 Duke Ct, Fairburn, GA 30213 Phone: 813-205-8901 | |
Ms. Lakia Chappelle, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 906 Meadow Glen Pkwy, Fairburn, GA 30213 Phone: 803-521-3327 | |
Colena Brown, MA, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 7556 Rutgers Cir, Fairburn, GA 30213 Phone: 702-427-9368 |