Mr Delton Wade De Vose, PHD, LPCS, CCS, BCTM in Martinez, GA

Mr Delton Wade De Vose, PHD, LPCS, CCS, BCTM is a Counselor - Professional based in Martinez, Georgia. Mr Delton Wade De Vose is licensed to practice in Georgia (license number 007674) and his current practice location is 4210 Columbia Rd Ste 11b, Martinez, Georgia. He can be reached at his office (for appointments etc.) via phone at (706) 364-6576.

NPI number for Mr Delton Wade De Vose is 1194860759 and his current mailing address is 4210 Columbia Rd Ste 11b, Martinez, Georgia. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1194860759.

Contact Information

	Mr Delton Wade De Vose, PHD, LPCS, CCS, BCTM
	4210 Columbia Rd Ste 11b, Martinez, GA 30907-0443
	(706) 364-6576
	(888) 445-2452

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Delton Wade De Vose
Gender	Male
Speciality	Counselor - Professional
Location	4210 Columbia Rd Ste 11b, Martinez, Georgia
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1194860759
Provider Enumeration Date: 02/21/2007
Last Update Date: 09/16/2020

Medical Identifiers

Medical identifiers for Mr Delton Wade De Vose such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1194860759	NPI	-	NPPES
3404922	Other		BCBS
6103058	Medicaid	NC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YA0400X	Counselor - Addiction (substance Use Disorder)	1658 (North Carolina)	Secondary
101YP2500X	Counselor - Professional	4985 (North Carolina)	Secondary
101YP2500X	Counselor - Professional	007674 (Georgia)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Delton Wade De Vose is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mr Delton Wade De Vose, PHD, LPCS, CCS, BCTM 4210 Columbia Rd Ste 11b, Martinez, GA 30907-0443 Ph: (919) 937-5486	Mr Delton Wade De Vose, PHD, LPCS, CCS, BCTM 4210 Columbia Rd Ste 11b, Martinez, GA 30907-0443 Ph: (706) 364-6576

Reviews and Comments

Counselor in Martinez, GA

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

Mr Delton Wade De Vose, PHD, LPCS, CCS, BCTM - Counselor in Martinez, GA