Tatiana Nicole Pelt, MS, LPC | |
11111 Houze Rd Ste 225, Roswell, GA 30076-5618 | |
(770) 603-0123 | |
Not Available |
Full Name | Tatiana Nicole Pelt |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 11111 Houze Rd Ste 225, Roswell, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1982273330 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | LPC012147 (Georgia) | Primary |
Entity Name | North Atlanta Mental Health, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376269738 PECOS PAC ID: 4789040445 Enrollment ID: O20230523000423 |
Mailing Address | Practice Location Address |
---|---|
Tatiana Nicole Pelt, MS, LPC 10700 Medlock Bridge Rd Ste 101, Johns Creek, GA 30097-8455 Ph: (404) 383-8036 | Tatiana Nicole Pelt, MS, LPC 11111 Houze Rd Ste 225, Roswell, GA 30076-5618 Ph: (770) 603-0123 |
Mrs. Melissa Ragsdale Goodwin, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 601 Bombay Ln, Roswell, GA 30076 Phone: 770-262-2080 Fax: 770-754-4676 | |
Barbara Blake Brown, M.S., L.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 66 Sloan St, Roswell, GA 30075 Phone: 770-595-8999 Fax: 678-226-9683 | |
Mr. Christian Lamar King, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 11111 Houze Rd Ste 225, Roswell, GA 30076 Phone: 770-603-0123 | |
Ms. Shannon Burge Wallon, LPC, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1905 Woodstock Rd Ste 3250, Roswell, GA 30075 Phone: -- | |
Kaitlyn Sampson, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 570 Colonial Park Dr Ste 315, Roswell, GA 30075 Phone: 404-492-8187 | |
Beverly Joi Matthews, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 1014 Canton St, Roswell, GA 30075 Phone: 770-993-2676 Fax: 770-993-1118 | |
Amanda S Moore, Counselor Medicare: Not Enrolled in Medicare Practice Location: 290 Saddle Lake Dr, Roswell, GA 30076 Phone: 770-561-4585 |