Oliver Craig Widenhouse, LPC | |
250 North Ave, Athens, GA 30601-2244 | |
(706) 542-9739 | |
Not Available |
Full Name | Oliver Craig Widenhouse |
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Gender | Male |
Speciality | Counselor - Professional |
Location | 250 North Ave, Athens, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1760454540 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | LPC005005 (Georgia) | Primary |
Entity Name | Advantage Behavioral Health Systems |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942270558 PECOS PAC ID: 1052200599 Enrollment ID: O20040312000946 |
Mailing Address | Practice Location Address |
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Oliver Craig Widenhouse, LPC 250 North Ave, Athens, GA 30601-2244 Ph: (706) 542-9700 | Oliver Craig Widenhouse, LPC 250 North Ave, Athens, GA 30601-2244 Ph: (706) 542-9739 |
Mrs. Tedra Dorothy Lucille Shriner, ED.S, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 101 Southcreek Pl, Athens, GA 30606 Phone: 706-766-5794 | |
Michael Creech, Counselor Medicare: Not Enrolled in Medicare Practice Location: 250 North Ave, Athens, GA 30601 Phone: 706-542-9739 | |
John Glenn Helmly, LPC Counselor Medicare: Medicare Enrolled Practice Location: 1435 Oglethorpe Ave, Athens, GA 30606 Phone: 706-549-7755 | |
Beverly Anne Grant, LPC, CAADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 140 Sedgefield Dr, Athens, GA 30606 Phone: 706-255-1803 | |
Dr. Terrence Love Jr., PSY.D., LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 585 Research Dr Ste D, Athens, GA 30605 Phone: 706-383-7401 | |
Lanina Cobb-thompson, LAPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 250 Bray St, Athens, GA 30601 Phone: 706-389-6789 | |
Larissa Jackson, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 1720 Lexington Rd Ste A, Athens, GA 30605 Phone: 706-543-3522 Fax: 706-543-3523 |