Nichola Daley, LPC | |
600 Woodstone Rd, Lithonia, GA 30058-5947 | |
(404) 422-0350 | |
Not Available |
Full Name | Nichola Daley |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 600 Woodstone Rd, Lithonia, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1891330577 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 011144 (Georgia) | Primary |
Entity Name | Sondermind Provider Network Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760854442 PECOS PAC ID: 9537572490 Enrollment ID: O20210225002747 |
Mailing Address | Practice Location Address |
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Nichola Daley, LPC 600 Woodstone Rd, Lithonia, GA 30058-5947 Ph: (404) 422-0350 | Nichola Daley, LPC 600 Woodstone Rd, Lithonia, GA 30058-5947 Ph: (404) 422-0350 |
Densua Yalantys Bonner, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3035 Stone Mountain St Unit 520, Lithonia, GA 30058 Phone: 470-344-9289 | |
Lynn Goodwin, MA, LAPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3651 Evans Mill Rd, Lithonia, GA 30038 Phone: 404-398-7188 | |
Veronica Celeste Harris, LAPC, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 6584 Shady Creek Ct, Lithonia, GA 30058 Phone: 678-549-1203 | |
Sheila J Campbell, Counselor Medicare: Not Enrolled in Medicare Practice Location: 5303 Shirewick Dr, Lithonia, GA 30058 Phone: 678-418-9211 Fax: 678-418-9211 | |
Mrs. Mary Frances Wilder, Counselor Medicare: Not Enrolled in Medicare Practice Location: 6612 Old Covington Rd, Lithonia, GA 30058 Phone: 770-484-1704 Fax: 770-784-3187 | |
Angela Cannon, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 5811 Bellingrath Way, Lithonia, GA 30058 Phone: 404-788-9237 | |
Mrs. Pamela Yvonne Little, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2107 Charles Cudd Ct, Lithonia, GA 30058 Phone: 770-861-0251 |