Mrs Moneta Huddleston Sinclair, MA, LPC | |
977 Taylor St Sw, Suite A, Conyers, GA 30012-5357 | |
(770) 918-6677 | |
(770) 918-6686 |
Full Name | Mrs Moneta Huddleston Sinclair |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 977 Taylor St Sw, Conyers, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1265597165 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | LPC04656 (Georgia) | Primary |
Entity Name | Positive Impact Health Centers, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1790861995 PECOS PAC ID: 5496721987 Enrollment ID: O20040907000653 |
Mailing Address | Practice Location Address |
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Mrs Moneta Huddleston Sinclair, MA, LPC 1113 Palmer Trl, Lithonia, GA 30058-9093 Ph: (678) 793-0053 | Mrs Moneta Huddleston Sinclair, MA, LPC 977 Taylor St Sw, Suite A, Conyers, GA 30012-5357 Ph: (770) 918-6677 |
Mr. Solomon Berewa, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1000 Iris Dr Sw Ste D200, Conyers, GA 30094 Phone: 404-396-7890 | |
Angel Jocelin Haye, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2365 Wall St Se Ste 200-04, Conyers, GA 30013 Phone: 404-890-0125 | |
Crystal N. Broughton, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1775 Parker Rd Se Ste 210, Conyers, GA 30094 Phone: 470-967-8663 Fax: 678-218-4253 | |
Michelle M. Billups, Counselor Medicare: Not Enrolled in Medicare Practice Location: 977a Taylor St Sw, Conyers, GA 30012 Phone: 770-918-6677 | |
Dandrea R Sanders, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1780b Southgate Ln Se, Conyers, GA 30013 Phone: 470-207-2044 | |
Leroy Bryan, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1175 Green St Se, Conyers, GA 30012 Phone: 770-929-1470 | |
Debra Lavette Hanson, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3204 Quincey Xing, Conyers, GA 30013 Phone: 404-803-1127 |