Susan Ann Stewart, | |
275 Country Club Dr, Stockbridge, GA 30281-7349 | |
(770) 474-8400 | |
Not Available |
Full Name | Susan Ann Stewart |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 275 Country Club Dr, Stockbridge, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1285007559 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | APC005183 (Georgia) | Secondary |
101YP2500X | Counselor - Professional | LPC010341 (Georgia) | Primary |
Entity Name | Personal Recovery Network Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881990869 PECOS PAC ID: 5092611384 Enrollment ID: O20120110000096 |
Mailing Address | Practice Location Address |
---|---|
Susan Ann Stewart, 270 Carpenter Dr, Atlanta, GA 30328-4931 Ph: (678) 460-0345 | Susan Ann Stewart, 275 Country Club Dr, Stockbridge, GA 30281-7349 Ph: (770) 474-8400 |
Dr. Fredrick Antonia Thrasher, PHD, LPC, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 110 Eagle Spring Dr Ste D, Stockbridge, GA 30281 Phone: 678-565-1400 Fax: 866-945-9685 | |
Mireille Tercier Mackey, Counselor Medicare: Not Enrolled in Medicare Practice Location: 301 Country Club Dr, Stockbridge, GA 30281 Phone: 678-782-7272 | |
Mrs. Benita Campbell, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 301 Country Club Dr, Stockbridge, GA 30281 Phone: 678-782-3379 | |
Shamia Lanae Turlington, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1702 Hudson Bridge Rd, Stockbridge, GA 30281 Phone: 770-558-7956 | |
Miss Marta Greer, M.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 3887 Walt Stephens Rd, Stockbridge, GA 30281 Phone: 770-371-6191 | |
Ms. Keisha Nichole Hood, MAMFT, LMFT, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 385 Country Club Dr, Suite E, Stockbridge, GA 30281 Phone: 678-671-9908 | |
Grequenceo Coger, M.ED Counselor Medicare: Not Enrolled in Medicare Practice Location: 1817 Saint Ives Xing, Stockbridge, GA 30281 Phone: 678-328-9571 |