Pauline Maxwell, LPC | |
111 S Monroe St Apt C, Bainbridge, GA 39817-4058 | |
(229) 220-7348 | |
Not Available |
Full Name | Pauline Maxwell |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 111 S Monroe St Apt C, Bainbridge, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1114467297 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | LPC009417 (Georgia) | Primary |
Entity Name | Georgia Pines Community Service Board |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366506958 PECOS PAC ID: 5799772844 Enrollment ID: O20040429000631 |
Mailing Address | Practice Location Address |
---|---|
Pauline Maxwell, LPC 111 S Monroe St Apt C, Bainbridge, GA 39817-4058 Ph: (229) 220-7348 | Pauline Maxwell, LPC 111 S Monroe St Apt C, Bainbridge, GA 39817-4058 Ph: (229) 220-7348 |
David Lee Breault, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1005 S Washington St, Bainbridge, GA 39819 Phone: 229-248-2683 | |
Kathryn Culverson Coe, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 102 N Broad St, Bainbridge, GA 39817 Phone: 229-416-4737 | |
Linda Turral, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 208 S Broad St, Bainbridge, GA 39817 Phone: 229-243-1633 Fax: 229-243-9446 | |
Regina W Holley, LPC Counselor Medicare: Medicare Enrolled Practice Location: 411 Bainbridge St, Bainbridge, GA 39819 Phone: 229-220-5786 | |
Ms. Tina Fleming, CPCS, LPC, CRC Counselor Medicare: Not Enrolled in Medicare Practice Location: 617 S West St, Bainbridge, GA 39819 Phone: 229-246-9050 | |
Mr. Marty Dewayne Brock, M.A., CCAADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 214 Prosperity Church Rd, Bainbridge, GA 39817 Phone: 229-220-2275 |