Jordan Keener, | |
4073 Highway 53, Hoschton, GA 30548-2305 | |
(770) 882-5884 | |
Not Available |
Full Name | Jordan Keener |
---|---|
Gender | Female |
Speciality | Counselor - Professional |
Location | 4073 Highway 53, Hoschton, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1710679675 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | LPC013929 (Georgia) | Primary |
Entity Name | Northeast Georgia Psychological Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1407230410 PECOS PAC ID: 1850600891 Enrollment ID: O20151014001687 |
Mailing Address | Practice Location Address |
---|---|
Jordan Keener, 479 Highway 51 S, Homer, GA 30547-2534 Ph: (678) 936-2827 | Jordan Keener, 4073 Highway 53, Hoschton, GA 30548-2305 Ph: (770) 882-5884 |
Angela Michelle Green, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4500 Hog Mountain Rd, Hoschton, GA 30548 Phone: 404-403-4843 | |
Arika Hefner, MS, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4073 Highway 53, Hoschton, GA 30548 Phone: 770-882-5884 | |
Elise Embrick Thrift, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4073 Highway 53, Hoschton, GA 30548 Phone: 706-658-0116 | |
Lyn C Shade, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 5628 Tisbury Ct, Hoschton, GA 30548 Phone: 770-965-7570 | |
Mrs. Brooke Christian Harris, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4073 Highway 53, Hoschton, GA 30548 Phone: 770-882-5884 | |
Rebecca Grace Bouras, LPC Counselor Medicare: Medicare Enrolled Practice Location: 4073 Highway 53, Hoschton, GA 30548 Phone: 770-882-5884 | |
Sarah Addison, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 5415 Thompson Mill Rd, Hoschton, GA 30548 Phone: 678-231-5557 Fax: 706-850-0899 |