Angela Renee Poole, LMFT | |
401 Old Kennedy Ln, Statesboro, GA 30458-7846 | |
(478) 420-2336 | |
Not Available |
Full Name | Angela Renee Poole |
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Gender | Female |
Speciality | Marriage & Family Therapist |
Location | 401 Old Kennedy Ln, Statesboro, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1558400879 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
106H00000X | Marriage & Family Therapist | MFT001873 (Georgia) | Primary |
Entity Name | Personal Recovery Network Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881990869 PECOS PAC ID: 5092611384 Enrollment ID: O20120110000096 |
Mailing Address | Practice Location Address |
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Angela Renee Poole, LMFT 6 Holmes Ct, Pooler, GA 31322-4800 Ph: (770) 389-8100 | Angela Renee Poole, LMFT 401 Old Kennedy Ln, Statesboro, GA 30458-7846 Ph: (478) 420-2336 |
Kelley Frazier, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 326 Myrtle Crossing Dr Ste 200, Statesboro, GA 30458 Phone: 239-560-5473 | |
Dr. John Douglas Geerdes, D'MIN./LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 19 Church St, Statesboro, GA 30458 Phone: 912-489-7590 Fax: 912-489-7590 | |
Dr. Ellen N Emerson, PH.D Couples Therapy Medicare: Medicare Enrolled Practice Location: 112 N College St, Statesboro, GA 30458 Phone: 912-687-5194 Fax: 912-681-0834 | |
Maxwell B Kennedy, MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 106 Oak St Ste A, Statesboro, GA 30458 Phone: 912-682-2709 Fax: 912-764-5661 | |
Dr. Michael E Stoneking, P.H.D. Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 117 S Zetterower Ave, Statesboro, GA 30458 Phone: 912-489-1063 | |
Suzette Kaye Lambert, M.A. MFT Couples Therapy Medicare: Medicare Enrolled Practice Location: 11 N College St, Statesboro, GA 30458 Phone: 912-489-6323 |