Justin Wayne Graves, LCSW | |
15 Hospital Park, Moultrie, GA 31768-6772 | |
(229) 891-9443 | |
(229) 891-9443 |
Full Name | Justin Wayne Graves |
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Gender | Male |
Speciality | Counselor - Mental Health |
Location | 15 Hospital Park, Moultrie, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1821596917 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | CSW005842 (Georgia) | Primary |
Entity Name | Turning Point Care Center Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205809571 PECOS PAC ID: 1052305786 Enrollment ID: O20040414000395 |
Entity Name | Colquitt Regional Psychiatry Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1407459027 PECOS PAC ID: 4981012655 Enrollment ID: O20210419000060 |
Mailing Address | Practice Location Address |
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Justin Wayne Graves, LCSW Po Box 2876, Moultrie, GA 31776-2876 Ph: (229) 891-9131 | Justin Wayne Graves, LCSW 15 Hospital Park, Moultrie, GA 31768-6772 Ph: (229) 891-9443 |
Amanda Owen, LMFT, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 719 S Main St, Moultrie, GA 31768 Phone: 229-456-2022 Fax: 912-550-4909 | |
Ashlyn M Hamilton, Counselor Medicare: Not Enrolled in Medicare Practice Location: 844 Ga Highway 33 S, Moultrie, GA 31788 Phone: 505-821-3628 Fax: 505-856-7103 | |
Ms. Christine Vanessa Williams, LMSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 615 N Main St, Moultrie, GA 31768 Phone: 229-891-7374 Fax: 229-891-7163 | |
April Michelle Cooper, Counselor Medicare: Not Enrolled in Medicare Practice Location: 615 N Main St, Moultrie, GA 31768 Phone: 229-891-7375 | |
Maresa Mckinney, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 719 1st St Se, Moultrie, GA 31768 Phone: 229-891-6223 | |
Julio Antonio Ginel, LMHC, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3892 Old Doerun Rd, Moultrie, GA 31768 Phone: 833-446-3572 Fax: 844-889-5507 |