Tracy Ellen Dasher, | |
24 Dogwood Ln, Clayton, GA 30525-2908 | |
(863) 266-1921 | |
Not Available |
Full Name | Tracy Ellen Dasher |
---|---|
Gender | Female |
Speciality | Counselor - Mental Health |
Location | 24 Dogwood Ln, Clayton, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1457815136 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | LPC012880 (Georgia) | Primary |
Entity Name | Georgia Mountains Community Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063522035 PECOS PAC ID: 8921094400 Enrollment ID: O20040421000783 |
Mailing Address | Practice Location Address |
---|---|
Tracy Ellen Dasher, 24 Dogwood Ln, Clayton, GA 30525-2908 Ph: (863) 266-1921 | Tracy Ellen Dasher, 24 Dogwood Ln, Clayton, GA 30525-2908 Ph: (863) 266-1921 |
Robert Hennen, Counselor Medicare: Not Enrolled in Medicare Practice Location: 236 File St, Clayton, GA 30525 Phone: 888-914-1050 | |
Ms. Barbara H Marshall, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 109 Old Livery Street, Clayton, GA 30525 Phone: 706-782-0717 Fax: 706-782-5266 | |
Mr. Herman Bunn, MA, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 42 Crooked Branch Dr, Clayton, GA 30525 Phone: 706-782-3671 Fax: 706-782-3671 | |
Jeffrey R Scott, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 236 File St, Clayton, GA 30525 Phone: 706-212-2037 Fax: 801-437-2984 | |
Mr. Thomas Gregory Cole, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 44 Cottonwood Street, Clayton, GA 30525 Phone: 706-782-0717 | |
Anne E Wilzbacher, Counselor Medicare: Not Enrolled in Medicare Practice Location: 236 File St, Clayton, GA 30525 Phone: 970-426-9207 | |
Ms. Christy Elizabeth Black, LPC, ATR-BC Counselor Medicare: Medicare Enrolled Practice Location: 109 Old Livery Street, Clayton, GA 30525 Phone: 706-782-0717 Fax: 706-782-5266 |