Mr Marty Dewayne Brock, MA, CCAADC | |
214 Prosperity Church Rd, Bainbridge, GA 39817-8278 | |
(229) 220-2275 | |
Not Available |
Full Name | Mr Marty Dewayne Brock |
---|---|
Gender | Male |
Speciality | Counselor - Pastoral |
Location | 214 Prosperity Church Rd, Bainbridge, Georgia |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1427485036 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | C0115 (Georgia) | Secondary |
101YP1600X | Counselor - Pastoral | 10114352 (Georgia) | Primary |
Mailing Address | Practice Location Address |
---|---|
Mr Marty Dewayne Brock, MA, CCAADC 214 Prosperity Church Rd, Bainbridge, GA 39817-8278 Ph: (229) 220-2275 | Mr Marty Dewayne Brock, MA, CCAADC 214 Prosperity Church Rd, Bainbridge, GA 39817-8278 Ph: (229) 220-2275 |
David Lee Breault, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1005 S Washington St, Bainbridge, GA 39819 Phone: 229-248-2683 | |
Pauline Maxwell, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 111 S Monroe St Apt C, Bainbridge, GA 39817 Phone: 229-220-7348 | |
Kathryn Culverson Coe, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 102 N Broad St, Bainbridge, GA 39817 Phone: 229-416-4737 | |
Linda Turral, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 208 S Broad St, Bainbridge, GA 39817 Phone: 229-243-1633 Fax: 229-243-9446 | |
Regina W Holley, LPC Counselor Medicare: Medicare Enrolled Practice Location: 411 Bainbridge St, Bainbridge, GA 39819 Phone: 229-220-5786 | |
Ms. Tina Fleming, CPCS, LPC, CRC Counselor Medicare: Not Enrolled in Medicare Practice Location: 617 S West St, Bainbridge, GA 39819 Phone: 229-246-9050 |