Jasmine Jenkins, | |
400 Technology Ct Se, Smyrna, GA 30082-5237 | |
(770) 431-2354 | |
Not Available |
Full Name | Jasmine Jenkins |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 400 Technology Ct Se, Smyrna, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1699365783 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 007512 (Georgia) | Secondary |
101YP2500X | Counselor - Professional | LPC013477 (Georgia) | Primary |
Entity Name | Personal Recovery Network Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881990869 PECOS PAC ID: 5092611384 Enrollment ID: O20120110000096 |
Mailing Address | Practice Location Address |
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Jasmine Jenkins, 400 Technology Ct Se, Smyrna, GA 30082-5237 Ph: () - | Jasmine Jenkins, 400 Technology Ct Se, Smyrna, GA 30082-5237 Ph: (770) 431-2354 |
Jarrod Keith Harris, Counselor Medicare: Not Enrolled in Medicare Practice Location: 5199 Whiteoak Ave Se, Smyrna, GA 30080 Phone: 409-540-0262 | |
Mary Margaret Tardy, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4045 Orchard Rd Se Ste 110, Smyrna, GA 30080 Phone: 770-293-1950 | |
Alicia Liphard, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4015 S Cobb Dr Se, Suite 100, Smyrna, GA 30080 Phone: 770-319-8013 | |
Tommie Mack Richardson, MD Counselor Medicare: Accepting Medicare Assignments Practice Location: 400 Technology Ct Se Ste J, Smyrna, GA 30082 Phone: 770-866-5700 Fax: 770-436-7143 | |
Frederica Mcclary-myers, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1533 Walton Ln Se, Smyrna, GA 30082 Phone: 404-931-2166 | |
Catherine Grace Seaver, MS, NCC, APC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1148 Concord Rd Se, Smyrna, GA 30080 Phone: 770-410-8376 | |
Elizabeth Montgomery Johnston, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3050 Atlanta Rd Se, Smyrna, GA 30080 Phone: 404-944-0847 |