Ms Susan K Kauffman, LMHC | |
146 Depot St Ste 202, Blue Ridge, GA 30513-8503 | |
(706) 964-6111 | |
(706) 964-6111 |
Full Name | Ms Susan K Kauffman |
---|---|
Gender | Female |
Speciality | Counselor - Mental Health |
Location | 146 Depot St Ste 202, Blue Ridge, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1205820198 | NPI | - | NPPES |
Z5963 | Other | FL | BCBS |
421634908 | Other | FL | FEDERAL TAX ID |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | MH2837 (Florida) | Primary |
Entity Name | Susan K Kauffman Lmhc Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1346521481 PECOS PAC ID: 9830574680 Enrollment ID: O20220915001511 |
Mailing Address | Practice Location Address |
---|---|
Ms Susan K Kauffman, LMHC Po Box 1157, Mc Caysville, GA 30555-1157 Ph: (941) 780-4192 | Ms Susan K Kauffman, LMHC 146 Depot St Ste 202, Blue Ridge, GA 30513-8503 Ph: (706) 964-6111 |
Mr. Larry Dale Deyton, LPC Counselor Medicare: Medicare Enrolled Practice Location: 990 E Main St Ste 10, Blue Ridge, GA 30513 Phone: 706-897-3011 | |
Ms. Laura Elizabeth Parker, LPC Counselor Medicare: Medicare Enrolled Practice Location: 101 Riverstone Vis, Suite 201 A, Blue Ridge, GA 30513 Phone: 770-235-1059 | |
Marvin A. Mcroberts, PSYCHOTHERAPIST Counselor Medicare: Not Enrolled in Medicare Practice Location: 605 Davenport Mountain Rd, Blue Ridge, GA 30513 Phone: 706-258-6226 Fax: 708-258-6226 | |
Vicki L Van Deilen, M ED, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 500 E Main St, Suite 302, Blue Ridge, GA 30513 Phone: 419-351-5111 Fax: 828-837-8410 | |
Deborah H Mikos, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 460 W Main St, Suite101, Blue Ridge, GA 30513 Phone: 706-455-2490 | |
Dr. Edward Lee Boye, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 101 Riverstone Vis, Suite 201a, Blue Ridge, GA 30513 Phone: 423-496-9878 |