Keisha H Johnson, LPC | |
7130 Mount Zion Blvd Ste 7, Jonesboro, GA 30236-2566 | |
(678) 610-4497 | |
(678) 610-0404 |
Full Name | Keisha H Johnson |
---|---|
Gender | Female |
Speciality | Counselor - Professional |
Location | 7130 Mount Zion Blvd Ste 7, Jonesboro, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1407125834 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 004077 (Georgia) | Primary |
Entity Name | Grady Memorial Hospital Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1114243813 PECOS PAC ID: 7517032998 Enrollment ID: O20100723000311 |
Mailing Address | Practice Location Address |
---|---|
Keisha H Johnson, LPC 7130 Mount Zion Blvd Ste 7, Jonesboro, GA 30236-2566 Ph: (678) 610-4497 | Keisha H Johnson, LPC 7130 Mount Zion Blvd Ste 7, Jonesboro, GA 30236-2566 Ph: (678) 610-4497 |
Cassandra Walker, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2617 Dancing Waters Dr, Jonesboro, GA 30236 Phone: 678-834-9128 | |
Dr. Daniel A Serritella, PHD LMFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 172 North Ave, Jonesboro, GA 30237 Phone: 770-478-7802 Fax: 770-471-8494 | |
Dr. Cynthia Adeniyi, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 216 N Mcdonough St, Jonesboro, GA 30236 Phone: 470-765-6689 | |
Mr. Erith Bennett, LAPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 530 Parkwood Way, Jonesboro, GA 30236 Phone: 770-460-0970 | |
Ms. Jennifer Leigh Serrano, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 224 Arrowhead Blvd, Jonesboro, GA 30236 Phone: 770-893-8044 | |
Pia Bhatti, Counselor Medicare: Medicare Enrolled Practice Location: 560 Highway 138 W, Jonesboro, GA 30238 Phone: 770-837-8253 | |
Mrs. Nyla P Bowens, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 8712 Tara Blvd, Jonesboro, GA 30236 Phone: 770-478-3417 Fax: 770-478-3419 |