Travis Crafter, LPC | |
250 Martin Luther King Jr Blvd, Macon, GA 31201-3490 | |
(478) 301-4111 | |
(478) 301-2272 |
Full Name | Travis Crafter |
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Gender | Male |
Speciality | Counselor - Professional |
Location | 250 Martin Luther King Jr Blvd, Macon, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1669837332 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
101YP2500X | Counselor - Professional | LPC011473 (Georgia) | Primary |
Entity Name | Privia Medical Group Of Georgia Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013313857 PECOS PAC ID: 4284951542 Enrollment ID: O20150325000983 |
Mailing Address | Practice Location Address |
---|---|
Travis Crafter, LPC 250 Martin Luther King Jr Blvd, Macon, GA 31201-3490 Ph: (478) 301-4111 | Travis Crafter, LPC 250 Martin Luther King Jr Blvd, Macon, GA 31201-3490 Ph: (478) 301-4111 |
Mrs. Carolyn Woodard, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 688 Walnut St, 202, Macon, GA 31201 Phone: 478-254-3751 Fax: 478-254-3752 | |
Quitman John Brigmond Jr., LPC Counselor Medicare: Medicare Enrolled Practice Location: 144 Pierce Ave, Macon, GA 31204 Phone: 478-475-4608 Fax: 478-476-8397 | |
Mr. Jonathan Allen Mendez, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2607 Vineville Ave Ste 107, Macon, GA 31204 Phone: 478-305-9913 | |
Mr. Joe Wilson, L.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 144 Pierce Avenue, Macon, GA 31204 Phone: 478-475-4608 Fax: 478-476-8397 | |
Miss Mary Angie Mcgukin, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 304 Pierce Ave, Macon, GA 31204 Phone: 478-751-2206 | |
Brittany Mickey, Counselor Medicare: Not Enrolled in Medicare Practice Location: 890 Northwoods Plaza, Macon, GA 31204 Phone: 478-951-8753 | |
Ms. Charlotte V Stewart, LPC,NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 116 Woodmont Dr, Macon, GA 31216 Phone: 478-747-6884 |