Mrs Chary Roberta Church, LPC - Counselor in Dallas, GA

Mrs Chary Roberta Church, LPC is a Counselor - Professional based in Dallas, Georgia. Mrs Chary Roberta Church is licensed to practice in Georgia (license number LPC004233) and her current practice location is 110 Evans Mill Dr Ste 305, Dallas, Georgia. She can be reached at her office (for appointments etc.) via phone at (770) 445-6358.

NPI number for Mrs Chary Roberta Church is 1518083039 and her current mailing address is 3137 Medley Ct Nw, Kennesaw, Georgia. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1518083039.

Contact Information

Mrs Chary Roberta Church, LPC
110 Evans Mill Dr Ste 305,
Dallas, GA 30157-1623
(770) 445-6358
(770) 445-7262

Map and Direction


Healthcare Provider's Profile

Full NameMrs Chary Roberta Church
GenderFemale
SpecialityCounselor - Professional
Location110 Evans Mill Dr Ste 305, Dallas, Georgia
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1518083039
  • Provider Enumeration Date: 03/22/2007
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Mrs Chary Roberta Church such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1518083039NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YP2500XCounselor - Professional LPC004233 (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. Mrs Chary Roberta Church 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
Mrs Chary Roberta Church, LPC
3137 Medley Ct Nw,
Kennesaw, GA 30152-6971

Ph: (770) 218-3719
Mrs Chary Roberta Church, LPC
110 Evans Mill Dr Ste 305,
Dallas, GA 30157-1623

Ph: (770) 445-6358

Reviews and Comments


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