Mrs Shannon A Keller, | |
4823 N Royal Atlanta Dr, Suite C, Tucker, GA 30084-3806 | |
(770) 939-2121 | |
Not Available |
Full Name | Mrs Shannon A Keller |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 4823 N Royal Atlanta Dr, Tucker, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1952521650 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
Entity Name | Personal Recovery Network Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881990869 PECOS PAC ID: 5092611384 Enrollment ID: O20120110000096 |
Mailing Address | Practice Location Address |
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Mrs Shannon A Keller, 1391 Delta Cors, Lawrenceville, GA 30045-5407 Ph: (770) 982-3138 | Mrs Shannon A Keller, 4823 N Royal Atlanta Dr, Suite C, Tucker, GA 30084-3806 Ph: (770) 939-2121 |
Courtney Jones-hall, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3469 Lawrenceville Hwy, Suite 201, Tucker, GA 30084 Phone: 770-723-7700 Fax: 770-723-7700 | |
Jessica Ringsmuth, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2376 Main St Ste A, Tucker, GA 30084 Phone: 470-658-0710 | |
Dr. Natasha Moon, PHD Counselor Medicare: Not Enrolled in Medicare Practice Location: 2323 Main St, Suite B-1, Tucker, GA 30084 Phone: 470-525-0033 | |
Mrs. Bhavini Solanki-vasan, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3547 Habersham At Northlake, Bldg F, Tucker, GA 30084 Phone: 678-406-9707 Fax: 678-406-9881 | |
Kyshia Brooks, LCAS/OWNER Counselor Medicare: Not Enrolled in Medicare Practice Location: 4500 Hugh Howell Rd Ste 430, Tucker, GA 30084 Phone: 470-668-9295 | |
Mrs. Barbara Deanne Beaton, M.S. Counselor Medicare: Not Enrolled in Medicare Practice Location: 4823 N Royal Atlanta Dr, Tucker, GA 30084 Phone: 770-939-2121 | |
Ms. Chelsea Alexis Green, LAPC, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3552 Habersham At Northlake, Tucker, GA 30084 Phone: 404-862-4332 |