Mrs Deanna Ruth Dennis, LPC | |
180 Wateroak Drive, Cedartown, GA 30125-2095 | |
(706) 748-2225 | |
(706) 749-0939 |
Full Name | Mrs Deanna Ruth Dennis |
---|---|
Gender | Female |
Speciality | Counselor - Professional |
Location | 180 Wateroak Drive, Cedartown, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1124244983 | NPI | - | NPPES |
LPC005515 | Other | GA | LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | LPC005515 (Georgia) | Primary |
Entity Name | The Northrop Connection, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1912398868 PECOS PAC ID: 6800104506 Enrollment ID: O20150929003498 |
Mailing Address | Practice Location Address |
---|---|
Mrs Deanna Ruth Dennis, LPC 1620 Hickory Street, Suite 404, Dalton, GA 30720-2312 Ph: (706) 270-5033 | Mrs Deanna Ruth Dennis, LPC 180 Wateroak Drive, Cedartown, GA 30125-2095 Ph: (706) 748-2225 |
Mrs. Cathy Puckett, Counselor Medicare: Not Enrolled in Medicare Practice Location: 180 Water Oak Dr, Cedartown, GA 30125 Phone: 770-748-2225 Fax: 770-749-0939 | |
Toni-marie Bryan, LAPC, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 740 Fletcher St, Cedartown, GA 30125 Phone: 770-748-1500 | |
Patti Williams, Counselor Medicare: Not Enrolled in Medicare Practice Location: 180 Water Oak Dr, Cedartown, GA 30125 Phone: 770-748-2225 Fax: 770-749-4418 | |
Chase Tarleton, LMSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 740 Fletcher St, Cedartown, GA 30125 Phone: 770-748-1500 | |
Jessica Wingo Leatherwood, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 62 Coaling Rd, Cedartown, GA 30125 Phone: 770-842-7172 | |
Mr. Gerald Shepard, CACI Counselor Medicare: Not Enrolled in Medicare Practice Location: 180 Water Oak Dr, Cedartown, GA 30125 Phone: 770-748-2225 |