Kisha Love, LPC, CPCS | |
610 Kentucky St, Scottdale, GA 30079-1124 | |
(678) 274-2823 | |
(678) 398-7760 |
Full Name | Kisha Love |
---|---|
Gender | Female |
Speciality | Counselor - Mental Health |
Location | 610 Kentucky St, Scottdale, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1396034427 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | LPC007310 (Georgia) | Secondary |
101YM0800X | Counselor - Mental Health | LPC007310 (Georgia) | Primary |
Entity Name | Access Mental Health Agency Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881848174 PECOS PAC ID: 3274854823 Enrollment ID: O20150608001213 |
Mailing Address | Practice Location Address |
---|---|
Kisha Love, LPC, CPCS Po Box 1761, Kennesaw, GA 30156-8761 Ph: (404) 543-4687 | Kisha Love, LPC, CPCS 610 Kentucky St, Scottdale, GA 30079-1124 Ph: (678) 274-2823 |
Dr. Naomi Black, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 610 Kentucky St, Scottdale, GA 30079 Phone: 470-206-1262 Fax: 404-738-2932 | |
Anne Danner, LPC, DCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3626 Lantern Crest Cv, Scottdale, GA 30079 Phone: 404-281-6412 | |
Ms. Gail R Harris, M.S., LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3033 N Decatur Rd, Scottdale, GA 30079 Phone: 678-637-1444 | |
Ms. Wendy Anne Fritz, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 610 Kentucky St, Scottdale, GA 30079 Phone: 404-507-2342 | |
Alisha Uppal, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 610 Kentucky St, Scottdale, GA 30079 Phone: 404-287-2638 | |
Farisai Dix-broughton, Counselor Medicare: Not Enrolled in Medicare Practice Location: 610 Kentucky St, Scottdale, GA 30079 Phone: 770-988-7470 |