Stephanie Lee Johnston, LPC | |
135 Cedar Ln Nw, Milledgeville, GA 31061-8068 | |
(513) 312-8107 | |
Not Available |
Full Name | Stephanie Lee Johnston |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 135 Cedar Ln Nw, Milledgeville, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1699131706 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | LPC010275 (Georgia) | Primary |
101YM0800X | Counselor - Mental Health | C.1200049 (Ohio) | Secondary |
Entity Name | Sondermind Provider Network Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760854442 PECOS PAC ID: 9537572490 Enrollment ID: O20210225002747 |
Mailing Address | Practice Location Address |
---|---|
Stephanie Lee Johnston, LPC 135 Cedar Ln Nw, Milledgeville, GA 31061-8068 Ph: (513) 312-8107 | Stephanie Lee Johnston, LPC 135 Cedar Ln Nw, Milledgeville, GA 31061-8068 Ph: (513) 312-8107 |
Brittany Mccullar, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 187 Roberson Mill Rd Ne Ste 202, Milledgeville, GA 31061 Phone: 478-295-2250 | |
Sherrie Bernice Pitts-johnson, LPC Counselor Medicare: Medicare Enrolled Practice Location: 2930 Heritage Place Ne, Suite 406, Milledgeville, GA 31061 Phone: 478-419-3566 | |
Antoinette Bynum, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1371 Orchard Hill Rd, Milledgeville, GA 31061 Phone: 478-445-4817 | |
Mrs. Bernadette Ann Moore, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 611 N Wayne St, Milledgeville, GA 31061 Phone: 478-254-0481 | |
Elizabeth T Wood, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 325b N Cobb St, Milledgeville, GA 31061 Phone: 478-451-5205 Fax: 478-451-5024 | |
Helen Jackson, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 326 Stoneridge Dr Nw, Milledgeville, GA 31061 Phone: 147-845-1983 | |
Angelika Johnson, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 110 Valentine Rd Ne, Milledgeville, GA 31061 Phone: 478-456-9295 |