Lisa Michelle Stephans, LAPC | |
12586 North Main Street, Trenton, GA 30752 | |
(706) 956-5526 | |
(706) 639-2054 |
Full Name | Lisa Michelle Stephans |
---|---|
Gender | Female |
Speciality | Counselor - Mental Health |
Location | 12586 North Main Street, Trenton, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1649700212 | NPI | - | NPPES |
00604513-GA | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | APC005882 (Georgia) | Primary |
Entity Name | Lookout Mountain Community Services |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1790782431 PECOS PAC ID: 4880682822 Enrollment ID: O20040506000251 |
Mailing Address | Practice Location Address |
---|---|
Lisa Michelle Stephans, LAPC 501 Mize St, La Fayette, GA 30728-3346 Ph: (706) 638-5580 | Lisa Michelle Stephans, LAPC 12586 North Main Street, Trenton, GA 30752 Ph: (706) 956-5526 |
Rose Casey, LPC Counselor Medicare: Medicare Enrolled Practice Location: 12586 N Main St, Trenton, GA 30752 Phone: 706-956-5526 | |
Felix D Cruz, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 13570 N Main St, Trenton, GA 30752 Phone: 706-956-2665 Fax: 706-657-5885 | |
Anna Katharine Horne, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 13570 N Main St, Trenton, GA 30752 Phone: 706-956-2665 Fax: 706-657-5885 |