Lisa Gail Rudeseal, LPC | |
175 Emery Hwy, Macon, GA 31217-3692 | |
(478) 751-4446 | |
(478) 751-4530 |
Full Name | Lisa Gail Rudeseal |
---|---|
Gender | Female |
Speciality | Counselor - Professional |
Location | 175 Emery Hwy, Macon, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1154658474 | NPI | - | NPPES |
002130 | Other | GA | LPC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 002130 (Georgia) | Primary |
Entity Name | Empowerment Resource Center, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235469875 PECOS PAC ID: 6305266594 Enrollment ID: O20201008001511 |
Mailing Address | Practice Location Address |
---|---|
Lisa Gail Rudeseal, LPC 175 Emery Hwy, Macon, GA 31217-3692 Ph: (478) 751-4446 | Lisa Gail Rudeseal, LPC 175 Emery Hwy, Macon, GA 31217-3692 Ph: (478) 751-4446 |
Mrs. Carolyn Woodard, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 688 Walnut St, 202, Macon, GA 31201 Phone: 478-254-3751 Fax: 478-254-3752 | |
Quitman John Brigmond Jr., LPC Counselor Medicare: Medicare Enrolled Practice Location: 144 Pierce Ave, Macon, GA 31204 Phone: 478-475-4608 Fax: 478-476-8397 | |
Mr. Jonathan Allen Mendez, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2607 Vineville Ave Ste 107, Macon, GA 31204 Phone: 478-305-9913 | |
Mr. Joe Wilson, L.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 144 Pierce Avenue, Macon, GA 31204 Phone: 478-475-4608 Fax: 478-476-8397 | |
Miss Mary Angie Mcgukin, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 304 Pierce Ave, Macon, GA 31204 Phone: 478-751-2206 | |
Brittany Mickey, Counselor Medicare: Not Enrolled in Medicare Practice Location: 890 Northwoods Plaza, Macon, GA 31204 Phone: 478-951-8753 | |
Ms. Charlotte V Stewart, LPC,NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 116 Woodmont Dr, Macon, GA 31216 Phone: 478-747-6884 |