Mrs Krishawna Elaine Montgomery, LPC, NCC | |
501 Mize Street Lookout Mountain Community Services, Lafayette, GA 30728 | |
(706) 638-5580 | |
(706) 638-5445 |
Full Name | Mrs Krishawna Elaine Montgomery |
---|---|
Gender | Female |
Speciality | Counselor - Professional |
Location | 501 Mize Street Lookout Mountain Community Services, Lafayette, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1083987481 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | LPC008188 (Georgia) | Primary |
Entity Name | Highland Rivers Community Service Board |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1447256243 PECOS PAC ID: 9032000245 Enrollment ID: O20040324001204 |
Mailing Address | Practice Location Address |
---|---|
Mrs Krishawna Elaine Montgomery, LPC, NCC 51 Crosscreek Dr Nw, Rome, GA 30165-1202 Ph: (706) 331-2235 | Mrs Krishawna Elaine Montgomery, LPC, NCC 501 Mize Street Lookout Mountain Community Services, Lafayette, GA 30728 Ph: (706) 638-5580 |
Harrington Littell Jr., LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 501 Mize St, Lafayette, GA 30728 Phone: 706-638-5580 Fax: 706-638-5445 | |
Vicki Michal Allmond, CAC 11 Counselor Medicare: Not Enrolled in Medicare Practice Location: 501 Mize Street, Lafayette, GA 30728 Phone: 706-638-5591 | |
Carol M Gobbel, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 501 Mize St, Lafayette, GA 30728 Phone: 706-638-5580 Fax: 706-638-5445 | |
Sue Copelan, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 501 Mize St., Lafayette, GA 30728 Phone: 706-638-5580 Fax: 706-639-2055 | |
Gwendolyn W. Smith, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 501 Mize St., Lafayette, GA 30728 Phone: 706-638-5580 Fax: 706-639-2041 | |
Janet Audrey Mccollough, M.ED. Counselor Medicare: Not Enrolled in Medicare Practice Location: 501 Mize St., Lafayette, GA 30728 Phone: 706-638-5580 Fax: 706-638-5445 |