Karen Ware, | |
215 Industrial Rd, Sylvania, GA 30467-1866 | |
(912) 209-5941 | |
(912) 567-3600 |
Full Name | Karen Ware |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 215 Industrial Rd, Sylvania, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1730591314 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | LPC007606 (Georgia) | Primary |
Entity Name | Soulshine Counseling Services, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1447823976 PECOS PAC ID: 7315380672 Enrollment ID: O20240205000206 |
Mailing Address | Practice Location Address |
---|---|
Karen Ware, Po Box 1982, Sylvania, GA 30467-7182 Ph: (912) 536-5418 | Karen Ware, 215 Industrial Rd, Sylvania, GA 30467-1866 Ph: (912) 209-5941 |
Lori W Burns, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 302 E Ogeechee St, Sylvania, GA 30467 Phone: 912-564-7825 Fax: 912-564-5778 | |
Courtney Johnson, M.ED, LPC, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 215 Industrial Rd, Sylvania, GA 30467 Phone: 912-585-7121 | |
Brielle Nicole Clarkson, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 493 Peeples Farm Rd, Sylvania, GA 30467 Phone: 912-728-4836 | |
Hollie Desselle Pryor, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 302 E Ogeechee St, Sylvania, GA 30467 Phone: 912-564-7825 Fax: 912-564-5778 | |
Katrina Cooper, Counselor Medicare: Medicare Enrolled Practice Location: 2830 Burtons Ferry Hwy, Sylvania, GA 30467 Phone: 800-317-0364 | |
Stephanie Royals, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 302 E Ogeechee St, Sylvania, GA 30467 Phone: 912-564-7825 Fax: 478-289-2683 |