| Jennifer Quintanilla Alejandro, LPC | |
|
618 Ponder Place Dr Ste 2, Evans, GA 30809-3117 | |
| (706) 825-8491 | |
| (706) 550-0340 |
| Full Name | Jennifer Quintanilla Alejandro |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 618 Ponder Place Dr Ste 2, Evans, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225160534 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | LPC006914 (Georgia) | Primary |
| Entity Name | Thriving Lane |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376122515 PECOS PAC ID: 1355741083 Enrollment ID: O20210616002689 |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Quintanilla Alejandro, LPC 618 Ponder Place Dr Ste 2, Evans, GA 30809-3117 Ph: (706) 825-8491 | Jennifer Quintanilla Alejandro, LPC 618 Ponder Place Dr Ste 2, Evans, GA 30809-3117 Ph: (706) 825-8491 |
Dr. Yulanda Williams, EDD, LPC, NCC, CRC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4453 Mcmanus Ct, Evans, GA 30809 Phone: 706-799-1549 Fax: 706-869-1954 | |
Mrs. Kristen M Dietert, CRC Counselor Medicare: Not Enrolled in Medicare Practice Location: 927 Hunting Horn Way W, Evans, GA 30809 Phone: 585-474-6278 | |
Meagan Philip, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 601 N Belair Sq Ste 2, Evans, GA 30809 Phone: 706-833-4895 Fax: 844-590-5819 | |
Mr. Benjamin Hinote, MS, LPC, NCC, CPCS Counselor Medicare: Medicare Enrolled Practice Location: 622 Ponder Place Dr Ste 2, Evans, GA 30809 Phone: 706-471-0603 Fax: 706-480-6617 | |
Rhoda Kimble-wheeler, CADC II, CCJP, US DO Counselor Medicare: Not Enrolled in Medicare Practice Location: 535 Laniers Way, Evans, GA 30809 Phone: 912-755-7257 | |
Dr. Keith Wilson Edmonds, ED.D., LPC Counselor Medicare: Medicare Enrolled Practice Location: 1202 Town Park Ln Ste 300, Evans, GA 30809 Phone: 706-210-8855 | |
Mrs. Benedicta N Ejindu, MED Counselor Medicare: Not Enrolled in Medicare Practice Location: 5125 Wells Dr, Evans, GA 30809 Phone: 912-541-2801 |