Joseph Hugh Etheredge, LPC | |
263 Almon Rd, Carrollton, GA 30117-1903 | |
(770) 546-5398 | |
Not Available |
Full Name | Joseph Hugh Etheredge |
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Gender | Male |
Speciality | Counselor - Professional |
Location | 263 Almon Rd, Carrollton, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1649934407 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | LPC014279 (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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Joseph Hugh Etheredge, LPC 153 Grizzly Trl, Carrollton, GA 30117-4974 Ph: (470) 729-0987 | Joseph Hugh Etheredge, LPC 263 Almon Rd, Carrollton, GA 30117-1903 Ph: (770) 546-5398 |
Lana Harris, Counselor Medicare: Not Enrolled in Medicare Practice Location: 215 Bradley St, Carrollton, GA 30117 Phone: 770-853-4102 Fax: 770-832-3046 | |
Kiera Rhodes, Counselor Medicare: Medicare Enrolled Practice Location: 2385 Oak Grove Church Rd, Carrollton, GA 30117 Phone: 404-398-3135 | |
Dr. Hayley Elizabeth Kast, LPC Counselor Medicare: Medicare Enrolled Practice Location: 173 Kilgore Rd Ste 206, Carrollton, GA 30116 Phone: 770-653-5974 | |
Tracy C Wilson, M.ED. Counselor Medicare: Not Enrolled in Medicare Practice Location: 215 Bradley St, Carrollton, GA 30117 Phone: 770-832-9140 Fax: 770-832-3046 | |
Corey Brian Hindman, M.ED., LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1601 Maple St, Carrollton, GA 30118 Phone: 678-839-5338 | |
Carolyn Sue Moore, Counselor Medicare: Not Enrolled in Medicare Practice Location: 523 Dixie St, Carrollton, GA 30117 Phone: 678-372-9979 | |
Ms. Tiffani Venigee Fryar, LPC Counselor Medicare: Medicare Enrolled Practice Location: 2032 Maple St, Carrollton, GA 30117 Phone: 678-890-6127 |