Karla M Peterson, | |
3569 Sumner Rd, Moultrie, GA 31768-0117 | |
(229) 310-5065 | |
Not Available |
Full Name | Karla M Peterson |
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Gender | Female |
Speciality | Marriage & Family Therapist |
Location | 3569 Sumner Rd, Moultrie, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1063010528 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
Entity Name | Serenity Therapy Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780432575 PECOS PAC ID: 1850830506 Enrollment ID: O20240827001205 |
Mailing Address | Practice Location Address |
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Karla M Peterson, 3569 Sumner Rd, Moultrie, GA 31768-0117 Ph: (229) 310-5065 | Karla M Peterson, 3569 Sumner Rd, Moultrie, GA 31768-0117 Ph: (229) 310-5065 |
Ms. Leta Anne Smith, L.F.M.C. Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 600 2nd St Se, Moultrie, GA 31768 Phone: 229-890-2288 Fax: 229-890-2289 | |
Samantha Marie Harrell, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 705 5th Ave Se, Moultrie, GA 31768 Phone: 229-502-9072 Fax: 229-616-1055 | |
Ms. Shandreka Croft, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 20 11th Ave Se, Moultrie, GA 31768 Phone: 229-616-1044 |