Mrs Ita G Dore, | |
409 Old Boring Ln, Woodstock, GA 30189-2495 | |
(770) 928-7300 | |
(770) 928-7558 |
Full Name | Mrs Ita G Dore |
---|---|
Gender | Female |
Speciality | Counselor - Professional |
Location | 409 Old Boring Ln, Woodstock, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1427374255 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
Entity Name | Cherokee Center For Change Counseling, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073892923 PECOS PAC ID: 5698149151 Enrollment ID: O20230323001887 |
Mailing Address | Practice Location Address |
---|---|
Mrs Ita G Dore, 409 Old Boring Ln, Woodstock, GA 30189-2495 Ph: (770) 928-7300 | Mrs Ita G Dore, 409 Old Boring Ln, Woodstock, GA 30189-2495 Ph: (770) 928-7300 |
Ms. Carol Braun Zepf, L.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 4474 Towne Lake Pkwy, Woodstock, GA 30189 Phone: 770-924-8517 Fax: 770-924-4422 | |
Francine Zakiyyah Drewry, CADCII, ICADC, SAP Counselor Medicare: Not Enrolled in Medicare Practice Location: 231 Weatherstone Pointe Dr, Woodstock, GA 30188 Phone: 770-899-7316 Fax: 770-727-1970 | |
Carla Nelson, M.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 9876 Main St, Suite 100, Woodstock, GA 30188 Phone: 770-516-1050 | |
Marley Fiveash, MFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 232 Jordan Dr, Woodstock, GA 30188 Phone: 404-314-4879 | |
Mr. Matthew D. Klein, L.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 3227 S Cherokee Ln, Suite 1320, Woodstock, GA 30188 Phone: 770-516-1050 Fax: 770-516-1300 | |
Christie Poole, MFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 4595 Towne Lake Pkwy, Building 300 Suite 250, Woodstock, GA 30189 Phone: 678-631-7639 | |
Mrs. Kimberly Meredith, LAPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4595 Towne Lake Pkwy Ste 250, Woodstock, GA 30189 Phone: 770-403-1120 |