Mrs Sandra Lynne Jackson, LPC | |
121 Jackson St, Newnan, GA 30263-1572 | |
(770) 251-5873 | |
(770) 304-2201 |
Full Name | Mrs Sandra Lynne Jackson |
---|---|
Gender | Female |
Speciality | Counselor - Professional |
Location | 121 Jackson St, Newnan, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1881350551 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | LPC0012685 (Colorado) | Secondary |
101YP2500X | Counselor - Professional | LPC012399 (Georgia) | Primary |
Entity Name | Lighthouse Counseling Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205961232 PECOS PAC ID: 3577551738 Enrollment ID: O20040505000757 |
Mailing Address | Practice Location Address |
---|---|
Mrs Sandra Lynne Jackson, LPC 121 Jackson St, Newnan, GA 30263-1572 Ph: (770) 251-5873 | Mrs Sandra Lynne Jackson, LPC 121 Jackson St, Newnan, GA 30263-1572 Ph: (770) 251-5873 |
Sarah Elizabeth Novak, Counselor Medicare: Not Enrolled in Medicare Practice Location: 59 Hospital Rd # 1209, Newnan, GA 30263 Phone: 678-423-4610 | |
Melanie Lynn Jessel, L.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 59 Hospital Rd, Newnan, GA 30263 Phone: 678-423-4610 | |
Emily Renee Duncan, Counselor Medicare: Not Enrolled in Medicare Practice Location: 37 Calumet Pkwy Ste 101&102, Newnan, GA 30263 Phone: 770-683-6946 Fax: 770-683-6949 | |
Joseph Adams, M.S., LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 121 Jackson St, Newnan, GA 30263 Phone: 770-251-5873 Fax: 770-304-2201 | |
Kimberly M Melson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 18 Perry St, Newnan, GA 30263 Phone: 678-621-1430 | |
Victoria Marie Sommer, Counselor Medicare: Not Enrolled in Medicare Practice Location: 37 Calumet Parkway, Bldg J, Suite 101 & 102, Newnan, GA 30263 Phone: 770-683-6946 | |
Mindy Swanson, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 25 E Broad St, Newnan, GA 30263 Phone: 770-988-4612 |