Mr Brendon Davis Mann, | |
409 S Oakland St, Gastonia, NC 28052-4312 | |
(704) 874-9005 | |
Not Available |
Full Name | Mr Brendon Davis Mann |
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Gender | Male |
Speciality | Counselor - Mental Health |
Location | 409 S Oakland St, Gastonia, North Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1447320809 | NPI | - | NPPES |
6102757 | Medicaid | NC |
Entity Name | Gaston Family Health Services Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215932215 PECOS PAC ID: 5496733925 Enrollment ID: O20040712000470 |
Mailing Address | Practice Location Address |
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Mr Brendon Davis Mann, 200 E 2nd Ave Ste 300, Gastonia, NC 28052-4358 Ph: (704) 874-1936 | Mr Brendon Davis Mann, 409 S Oakland St, Gastonia, NC 28052-4312 Ph: (704) 874-9005 |
Brittney Cornette, Counselor Medicare: Not Enrolled in Medicare Practice Location: 419 S York St, Gastonia, NC 28052 Phone: 704-865-8722 | |
Carym Arbulu Casas, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2925 Audrey Dr, Gastonia, NC 28054 Phone: 980-484-2111 | |
Mr. Robert Summey Iii, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1552 Union Rd, Suite E, Gastonia, NC 28054 Phone: 704-833-0154 Fax: 704-833-7076 | |
Stephanie Jackson Grier, MA, LCAS, CADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1566 Union Rd Ste B, Gastonia, NC 28054 Phone: 704-968-0935 | |
Jessica Gabrielle Montez, MA, LCMHCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 330 S York St, Gastonia, NC 28052 Phone: 704-864-6573 Fax: 704-864-9791 | |
Carolyn Linder, Counselor Medicare: Not Enrolled in Medicare Practice Location: 549 Cox Rd, Gastonia, NC 28054 Phone: 704-865-1558 | |
Jessie Dawson, M.A Counselor Medicare: Not Enrolled in Medicare Practice Location: 1019 W 6th Ave, Gastonia, NC 28052 Phone: 757-339-1149 |