Lisa Elaine Gentry, | |
3506 Professional Cir Ste B, Martinez, GA 30907-8234 | |
(706) 210-8855 | |
Not Available |
Full Name | Lisa Elaine Gentry |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 3506 Professional Cir Ste B, Martinez, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1386151801 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | LPC009971 (Georgia) | Primary |
Entity Name | Brightside Medical Of Michigan Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144800350 PECOS PAC ID: 9830562776 Enrollment ID: O20230404000719 |
Mailing Address | Practice Location Address |
---|---|
Lisa Elaine Gentry, 3506 Professional Cir Ste B, Martinez, GA 30907-8234 Ph: (706) 210-8855 | Lisa Elaine Gentry, 3506 Professional Cir Ste B, Martinez, GA 30907-8234 Ph: (706) 210-8855 |
Ms. Genette Mary Phelps, MHS Counselor Medicare: Not Enrolled in Medicare Practice Location: 4512 Jessie Rd, Martinez, GA 30907 Phone: 706-814-6779 | |
Latasha Abraham, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4210 Columbia Rd, Suite 5d, Martinez, GA 30907 Phone: 706-836-3193 | |
Judith L. Wolfe, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 211 Pleasant Home Rd, Suite B-2, Martinez, GA 30907 Phone: 706-513-1313 Fax: 706-854-0432 | |
Shatisha Matrice Wilson, MS, LPC, RPT-S, ACS Counselor Medicare: Not Enrolled in Medicare Practice Location: 4210 Columbia Rd Ste 13b, Martinez, GA 30907 Phone: 706-496-2856 Fax: 762-333-2872 | |
Donna Still, LAPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4434 Columbia Rd, Ste 203, Martinez, GA 30907 Phone: 706-305-3137 | |
Leslie Johnson Owen, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3711 Executive Center Dr., Suite 101, Martinez, GA 30907 Phone: 706-210-8855 Fax: 678-541-7699 | |
Mrs. Quiana Matthews, LMFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 4210 Columbia Rd Ste 17b, Martinez, GA 30907 Phone: 706-496-3479 Fax: 762-320-5363 |