Daeshanae Brock, LMFT is a
Marriage & Family Therapist based in Commerce, Georgia. Daeshanae Brock is licensed to practice in Georgia (license number MFT001982) and her current practice location is
97 Foxwood Trl, Commerce, Georgia. She can be reached at her office (for appointments etc.) via phone at
(816) 965-3036.
NPI number for Daeshanae Brock is 1255166567 and her current mailing address is 97 Foxwood Trl, Commerce, Georgia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1255166567.
Healthcare Provider's Profile
Full Name | Daeshanae Brock |
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Gender | Female |
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Speciality | Marriage & Family Therapist |
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Location | 97 Foxwood Trl, Commerce, Georgia |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1255166567
- Provider Enumeration Date: 09/05/2024
- Last Update Date: 09/05/2024
Medical Identifiers
Medical identifiers for Daeshanae Brock such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1255166567 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
106H00000X | Marriage & Family Therapist | MFT001982 (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. Daeshanae Brock 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 |
Daeshanae Brock, LMFT 97 Foxwood Trl, Commerce, GA 30529-5203 Ph: (816) 965-3036 | Daeshanae Brock, LMFT 97 Foxwood Trl, Commerce, GA 30529-5203 Ph: (816) 965-3036 |
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