Mr Jeremiah Grogg, MS, LPC | |
601 N Belair Sq Ste 2, Evans, GA 30809-0518 | |
(706) 836-1195 | |
(844) 873-4758 |
Full Name | Mr Jeremiah Grogg |
---|---|
Gender | Male |
Speciality | Counselor - Professional |
Location | 601 N Belair Sq Ste 2, Evans, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1578017166 | NPI | - | NPPES |
003181469A | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | LPC009114 (Georgia) | Primary |
Entity Name | Spero Health Of Virginia Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1104465103 PECOS PAC ID: 5193102788 Enrollment ID: O20220520000859 |
Mailing Address | Practice Location Address |
---|---|
Mr Jeremiah Grogg, MS, LPC 601 N Belair Sq Ste 2, Evans, GA 30809 Ph: (706) 836-1195 | Mr Jeremiah Grogg, MS, LPC 601 N Belair Sq Ste 2, Evans, GA 30809-0518 Ph: (706) 836-1195 |
Dr. Yulanda Williams, EDD, LPC, NCC, CRC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4453 Mcmanus Ct, Evans, GA 30809 Phone: 706-799-1549 Fax: 706-869-1954 | |
Mrs. Kristen M Dietert, CRC Counselor Medicare: Not Enrolled in Medicare Practice Location: 927 Hunting Horn Way W, Evans, GA 30809 Phone: 585-474-6278 | |
Meagan Philip, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 601 N Belair Sq Ste 2, Evans, GA 30809 Phone: 706-833-4895 Fax: 844-590-5819 | |
Mr. Benjamin Hinote, MS, LPC, NCC, CPCS Counselor Medicare: Medicare Enrolled Practice Location: 622 Ponder Place Dr Ste 2, Evans, GA 30809 Phone: 706-471-0603 Fax: 706-480-6617 | |
Rhoda Kimble-wheeler, CADC II, CCJP, US DO Counselor Medicare: Not Enrolled in Medicare Practice Location: 535 Laniers Way, Evans, GA 30809 Phone: 912-755-7257 | |
Dr. Keith Wilson Edmonds, ED.D., LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1202 Town Park Ln Ste 300, Evans, GA 30809 Phone: 706-210-8855 | |
Mrs. Benedicta N Ejindu, MED Counselor Medicare: Not Enrolled in Medicare Practice Location: 5125 Wells Dr, Evans, GA 30809 Phone: 912-541-2801 |