Teresa Jo Martin-yates, LPC is a
Counselor - Professional based in Nicholson, Georgia. Teresa Jo Martin-yates is licensed to practice in Georgia (license number LPC009874) and her current practice location is
59 Foxfire Dr, Nicholson, Georgia. She can be reached at her office (for appointments etc.) via phone at
(678) 936-7517.
NPI number for Teresa Jo Martin-yates is 1972226603 and her current mailing address is 59 Foxfire Dr, Nicholson, Georgia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1972226603.
Healthcare Provider's Profile
| Full Name | Teresa Jo Martin-yates |
|---|
| Gender | Female |
|---|
| Speciality | Counselor - Professional |
|---|
| Location | 59 Foxfire Dr, Nicholson, 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: 1972226603
- Provider Enumeration Date: 09/19/2022
- Last Update Date: 09/19/2022
Medical Identifiers
Medical identifiers for Teresa Jo Martin-yates such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1972226603 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | LPC009874 (Georgia) | Secondary |
| 101YP2500X | Counselor - Professional | LPC009874 (Georgia) | 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. Teresa Jo Martin-yates 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 |
|---|
Teresa Jo Martin-yates, LPC
59 Foxfire Dr,
Nicholson, GA 30565-3182
Ph: (678) 936-7517 | Teresa Jo Martin-yates, LPC
59 Foxfire Dr,
Nicholson, GA 30565-3182
Ph: (678) 936-7517 |
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