Paulette Chavers, MED, LPC | |
305 W Spring St, Mount Vernon, GA 30445-2837 | |
(912) 423-0498 | |
Not Available |
Full Name | Paulette Chavers |
---|---|
Gender | Female |
Speciality | Counselor - Professional |
Location | 305 W Spring St, Mount Vernon, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1336551415 | NPI | - | NPPES |
003155049B | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | LPC007713 (Georgia) | Primary |
Entity Name | Privia Medical Group Of Georgia Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013313857 PECOS PAC ID: 4284951542 Enrollment ID: O20150325000983 |
Mailing Address | Practice Location Address |
---|---|
Paulette Chavers, MED, LPC 305 W Spring St, Mount Vernon, GA 30445-2837 Ph: () - | Paulette Chavers, MED, LPC 305 W Spring St, Mount Vernon, GA 30445-2837 Ph: (912) 423-0498 |
Mr. Thadeus Mandrall Holloway, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 305 W Spring St, Box 172, Mount Vernon, GA 30445 Phone: 912-423-1000 Fax: 912-583-0115 | |
Crystal Coney, LMSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 421 W Robinson Dr, Mount Vernon, GA 30445 Phone: 912-583-0100 Fax: 912-583-0115 | |
Tyhescia White, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 305 W Spring St, Post Office Box 172, Mount Vernon, GA 30445 Phone: 912-423-0498 Fax: 912-583-0115 | |
Shonda Lafaye Madison, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1110 N Minnie St, Mount Vernon, GA 30445 Phone: 912-583-2172 | |
Amber Mcarthur, LMSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 305 W Spring St, Mount Vernon, GA 30445 Phone: 912-423-0498 Fax: 912-583-0115 |