Mr Joel David Vandenbergh, LPC | |
601 11th Ave, Albany, GA 31701-1645 | |
(229) 430-4140 | |
(229) 430-4059 |
Full Name | Mr Joel David Vandenbergh |
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Gender | Male |
Speciality | Counselor - Professional |
Location | 601 11th Ave, Albany, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1235402587 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | LPC006611 (Georgia) | Primary |
Entity Name | Albany Area Community Svc. Board |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063464212 PECOS PAC ID: 9032190483 Enrollment ID: O20040601000373 |
Mailing Address | Practice Location Address |
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Mr Joel David Vandenbergh, LPC 1120 W Broad Ave, Suite C-6, Albany, GA 31707-4397 Ph: (229) 430-0416 | Mr Joel David Vandenbergh, LPC 601 11th Ave, Albany, GA 31701-1645 Ph: (229) 430-4140 |
Susan Hardie, LPC Counselor Medicare: Medicare Enrolled Practice Location: 417 W 3rd Ave, Albany, GA 31701 Phone: 229-312-7001 Fax: 229-312-7006 | |
Cynthia Morrell, Counselor Medicare: Medicare Enrolled Practice Location: 506 N Jackson St, Albany, GA 31701 Phone: 229-889-7200 Fax: 229-889-7393 | |
Dena Payn, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1211 Palmyra Rd, Albany, GA 31701 Phone: 229-439-8686 | |
Malcolm Rundell Bynum, LPC Counselor Medicare: Medicare Enrolled Practice Location: 321 William Jr St, Albany, GA 31707 Phone: 229-430-5100 | |
Mr. Roderick Mcleod Wilcox, LCSW, MFT Counselor Medicare: Accepting Medicare Assignments Practice Location: 1216 Whispering Pines Rd, Albany, GA 31707 Phone: 229-435-1729 Fax: 229-435-1720 | |
Mr. Kenneth George Myers Jr., M.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 1511 W 3rd Ave, Suite 104, Albany, GA 31707 Phone: 229-854-4886 | |
Kareema Williams, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 601 11th Ave, Albany, GA 31701 Phone: 229-430-4140 |