T'challa O'bryant, LPC | |
2402 Jacobs Ct, Hinesville, GA 31313-9460 | |
(912) 492-2267 | |
Not Available |
Full Name | T'challa O'bryant |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 2402 Jacobs Ct, Hinesville, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1093402455 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | LPC009649 (Georgia) | Primary |
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 |
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T'challa O'bryant, LPC 2402 Jacobs Ct, Hinesville, GA 31313-9460 Ph: (912) 492-2267 | T'challa O'bryant, LPC 2402 Jacobs Ct, Hinesville, GA 31313-9460 Ph: (912) 492-2267 |
Ivie Page, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1518 Airport Rd, Hinesville, GA 31313 Phone: 912-559-5536 Fax: 614-388-3712 | |
Belinda Joy Sharp, MS, LMHC,LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 345 W Memorial Dr, Hinesville, GA 31313 Phone: 912-456-2002 Fax: 772-220-3484 | |
Gloria M. Hance, LPC Counselor Medicare: Medicare Enrolled Practice Location: 215 E Court St, Hinesville, GA 31313 Phone: 912-876-4010 | |
Mrs. Gloria Harris Daughtery, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 318 S Welborn St, Suite C, Hinesville, GA 31313 Phone: 912-332-5145 Fax: 912-332-5143 | |
Marisol Robles, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 215 E Court St, Hinesville, GA 31313 Phone: 912-876-4010 Fax: 912-369-2262 | |
Angela Harris, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 215 E Court St, Hinesville, GA 31313 Phone: 912-876-4010 Fax: 912-369-2262 |