Mr Bryan Mild Golson, LPC | |
3350 Breckinridge Blvd Ste 200, Duluth, GA 30096-4959 | |
(770) 962-8396 | |
Not Available |
Full Name | Mr Bryan Mild Golson |
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Gender | Male |
Speciality | Counselor - Professional |
Location | 3350 Breckinridge Blvd Ste 200, Duluth, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1033992805 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
Entity Name | Positive Impact Health Centers, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1790861995 PECOS PAC ID: 5496721987 Enrollment ID: O20040907000653 |
Mailing Address | Practice Location Address |
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Mr Bryan Mild Golson, LPC 3350 Breckinridge Blvd Ste 200, Duluth, GA 30096-4959 Ph: (770) 962-8396 | Mr Bryan Mild Golson, LPC 3350 Breckinridge Blvd Ste 200, Duluth, GA 30096-4959 Ph: (770) 962-8396 |
S. Nyambura Kihato, M.A., M.ED., LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3160 Main St Ste 102, Duluth, GA 30096 Phone: 470-736-9595 | |
Christian Javier Carmona-carlo, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3350 Breckinridge Blvd Ste 200, Duluth, GA 30096 Phone: 770-962-8396 | |
William Powers, MS, NCC, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1810 Peachtree Industrial Blvd Ste 120, Duluth, GA 30097 Phone: 678-473-7972 | |
Christina Ingram, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2180 Satellite Blvd Ste 400, Duluth, GA 30097 Phone: 770-464-5831 Fax: 844-735-7253 | |
Patricia Gray Di Rito, MA, LAPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1810 Peachtree Industrial Blvd, Suite 155, Duluth, GA 30097 Phone: 770-845-1646 | |
Courtney Chaney, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3305 Breckinridge Blvd, Duluth, GA 30096 Phone: 404-455-4895 |