Wallace Coleman, | |
2403 Osler Court, Suite B, Albany, GA 31707 | |
(229) 639-3135 | |
Not Available |
Full Name | Wallace Coleman |
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Gender | Male |
Speciality | Counselor - Mental Health |
Location | 2403 Osler Court, Albany, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1669941035 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | LPC010234 (Georgia) | Secondary |
101YM0800X | Counselor - Mental Health | LPC010234 (Georgia) | Primary |
Entity Name | Albany Area Primary Health Care, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780608992 PECOS PAC ID: 7911811922 Enrollment ID: O20040217000509 |
Mailing Address | Practice Location Address |
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Wallace Coleman, 204 N Westover Blvd, Albany, GA 31707-2983 Ph: (229) 888-6559 | Wallace Coleman, 2403 Osler Court, Suite B, Albany, GA 31707 Ph: (229) 639-3135 |
Susan Hardie, LPC Counselor Medicare: Medicare Enrolled Practice Location: 417 W 3rd Ave, Albany, GA 31701 Phone: 229-312-7001 Fax: 229-312-7006 | |
Cynthia Morrell, Counselor Medicare: Medicare Enrolled Practice Location: 506 N Jackson St, Albany, GA 31701 Phone: 229-889-7200 Fax: 229-889-7393 | |
Dena Payn, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1211 Palmyra Rd, Albany, GA 31701 Phone: 229-439-8686 | |
Malcolm Rundell Bynum, LPC Counselor Medicare: Medicare Enrolled Practice Location: 321 William Jr St, Albany, GA 31707 Phone: 229-430-5100 | |
Mr. Roderick Mcleod Wilcox, LCSW, MFT Counselor Medicare: Accepting Medicare Assignments Practice Location: 1216 Whispering Pines Rd, Albany, GA 31707 Phone: 229-435-1729 Fax: 229-435-1720 | |
Mr. Kenneth George Myers Jr., M.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 1511 W 3rd Ave, Suite 104, Albany, GA 31707 Phone: 229-854-4886 | |
Kareema Williams, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 601 11th Ave, Albany, GA 31701 Phone: 229-430-4140 |