Phyllis Zupkow, LPC | |
445 Winn Way, Decatur, GA 30030-1707 | |
(404) 294-3745 | |
Not Available |
Full Name | Phyllis Zupkow |
---|---|
Gender | Female |
Speciality | Counselor - Professional |
Location | 445 Winn Way, Decatur, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1366684607 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 61008 (Texas) | Secondary |
101YP2500X | Counselor - Professional | LPC009475 (Georgia) | Primary |
Entity Name | Dekalb Community Service Board |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073686978 PECOS PAC ID: 8527958487 Enrollment ID: O20040316001099 |
Mailing Address | Practice Location Address |
---|---|
Phyllis Zupkow, LPC 3031 Ih 10 W, San Antonio, TX 78201-5159 Ph: (210) 731-1300 | Phyllis Zupkow, LPC 445 Winn Way, Decatur, GA 30030-1707 Ph: (404) 294-3745 |
Robin C Johnson, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3523 Moonlight Forest Ct, Decatur, GA 30034 Phone: 770-374-1605 | |
Shaina Gordon, Counselor Medicare: Not Enrolled in Medicare Practice Location: 465 Winn Way, 221, Decatur, GA 30030 Phone: 404-292-3810 | |
Sarah Davison, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 445 Winn Way, Decatur, GA 30030 Phone: 404-294-3836 | |
Giselle Amaris Jacob, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 1244 Clairmont Rd Ste 204, Decatur, GA 30030 Phone: 404-818-6535 | |
Mrs. Anna Christina Davis, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 465 Winn Way, Suite 221, Decatur, GA 30030 Phone: 404-292-3810 Fax: 404-292-3848 | |
Jacob Dreiling, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1814 Clairmont Rd, Decatur, GA 30033 Phone: 404-636-1457 Fax: 404-636-7449 | |
Nathaniel Flowers, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3232 Memorial Dr, Decatur, GA 30032 Phone: 678-235-5478 |