Mr Jeff Nicholas White, LPC - Counselor in Dallas, GA

Mr Jeff Nicholas White, LPC is a Counselor - Professional based in Dallas, Georgia. Mr Jeff Nicholas White is licensed to practice in Georgia (license number 014061) and his current practice location is 814 Blackberry Run Trl, Dallas, Georgia. He can be reached at his office (for appointments etc.) via phone at (719) 930-7844.

NPI number for Mr Jeff Nicholas White is 1972354140 and his current mailing address is 814 Blackberry Run Trl, Dallas, Georgia. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1972354140.

Contact Information

Mr Jeff Nicholas White, LPC
814 Blackberry Run Trl,
Dallas, GA 30132-2131
(719) 930-7844
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameMr Jeff Nicholas White
GenderMale
SpecialityCounselor - Professional
Location814 Blackberry Run Trl, Dallas, Georgia
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1972354140
  • Provider Enumeration Date: 03/27/2024
  • Last Update Date: 04/12/2024

Medical Identifiers

Medical identifiers for Mr Jeff Nicholas White such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1972354140NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YP2500XCounselor - Professional 014061 (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 Jeff Nicholas White 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 AddressPractice Location Address
Mr Jeff Nicholas White, LPC
814 Blackberry Run Trl,
Dallas, GA 30132-2131

Ph: (719) 930-7844
Mr Jeff Nicholas White, LPC
814 Blackberry Run Trl,
Dallas, GA 30132-2131

Ph: (719) 930-7844

Reviews and Comments


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