Jessica Wright, | |
605 Smith Ave, Cedartown, GA 30125-2345 | |
(678) 988-4562 | |
Not Available |
Full Name | Jessica Wright |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 605 Smith Ave, Cedartown, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1336896562 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
101YP2500X | Counselor - Professional | LPC014847 (Georgia) | Primary |
Entity Name | Grow Healthcare Group Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20220315000829 |
Mailing Address | Practice Location Address |
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Jessica Wright, 605 Smith Ave, Cedartown, GA 30125-2345 Ph: (678) 988-4562 | Jessica Wright, 605 Smith Ave, Cedartown, GA 30125-2345 Ph: (678) 988-4562 |
Mrs. Cathy Puckett, Counselor Medicare: Not Enrolled in Medicare Practice Location: 180 Water Oak Dr, Cedartown, GA 30125 Phone: 770-748-2225 Fax: 770-749-0939 | |
Toni-marie Bryan, LAPC, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 740 Fletcher St, Cedartown, GA 30125 Phone: 770-748-1500 | |
Mrs. Deanna Ruth Dennis, LPC Counselor Medicare: Medicare Enrolled Practice Location: 180 Wateroak Drive, Cedartown, GA 30125 Phone: 706-748-2225 Fax: 706-749-0939 | |
Patti Williams, Counselor Medicare: Not Enrolled in Medicare Practice Location: 180 Water Oak Dr, Cedartown, GA 30125 Phone: 770-748-2225 Fax: 770-749-4418 | |
Chase Tarleton, LMSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 740 Fletcher St, Cedartown, GA 30125 Phone: 770-748-1500 | |
Jessica Wingo Leatherwood, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 62 Coaling Rd, Cedartown, GA 30125 Phone: 770-842-7172 | |
Mr. Gerald Shepard, CACI Counselor Medicare: Not Enrolled in Medicare Practice Location: 180 Water Oak Dr, Cedartown, GA 30125 Phone: 770-748-2225 |