Sherese Twyana Mccullough, is a
Health & Wellness Coach based in Gainesville, Georgia. Sherese Twyana Mccullough is licensed to practice in * (Not Available) (license number ) and her current practice location is
2419 Old Thompson Bridge Rd Apt J5, Gainesville, Georgia. She can be reached at her office (for appointments etc.) via phone at
(678) 858-3322.
NPI number for Sherese Twyana Mccullough is 1003572843 and her current mailing address is 2419 Old Thompson Bridge Rd Apt J5, Gainesville, Georgia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1003572843.
Healthcare Provider's Profile
| Full Name | Sherese Twyana Mccullough |
|---|
| Gender | Female |
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| Speciality | Health & Wellness Coach |
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| Location | 2419 Old Thompson Bridge Rd Apt J5, Gainesville, Georgia |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1003572843
- Provider Enumeration Date: 11/16/2021
- Last Update Date: 11/16/2021
Medical Identifiers
Medical identifiers for Sherese Twyana Mccullough such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1003572843 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 101YP1600X | Counselor - Pastoral | (* (Not Available)) | Secondary |
| 106E00000X | Assistant Behavior Analyst | (* (Not Available)) | Secondary |
| 171400000X | Health & Wellness Coach | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Sherese Twyana Mccullough is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Sherese Twyana Mccullough,
2419 Old Thompson Bridge Rd Apt J5,
Gainesville, GA 30501-1167
Ph: (678) 858-3322 | Sherese Twyana Mccullough,
2419 Old Thompson Bridge Rd Apt J5,
Gainesville, GA 30501-1167
Ph: (678) 858-3322 |
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