Dr Hayley Elizabeth Kast, LPC | |
173 Kilgore Rd Ste 206, Carrollton, GA 30116-1899 | |
(770) 653-5974 | |
Not Available |
Full Name | Dr Hayley Elizabeth Kast |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 173 Kilgore Rd Ste 206, Carrollton, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1013193432 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | LPC004967 (Georgia) | Primary |
Entity Name | Sondermind Provider Network Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760854442 PECOS PAC ID: 9537572490 Enrollment ID: O20210225002747 |
Mailing Address | Practice Location Address |
---|---|
Dr Hayley Elizabeth Kast, LPC 173 Kilgore Rd Ste 206, Carrollton, GA 30116-1899 Ph: (770) 653-5974 | Dr Hayley Elizabeth Kast, LPC 173 Kilgore Rd Ste 206, Carrollton, GA 30116-1899 Ph: (770) 653-5974 |
Lana Harris, Counselor Medicare: Not Enrolled in Medicare Practice Location: 215 Bradley St, Carrollton, GA 30117 Phone: 770-853-4102 Fax: 770-832-3046 | |
Kiera Rhodes, Counselor Medicare: Medicare Enrolled Practice Location: 2385 Oak Grove Church Rd, Carrollton, GA 30117 Phone: 404-398-3135 | |
Tracy C Wilson, M.ED. Counselor Medicare: Not Enrolled in Medicare Practice Location: 215 Bradley St, Carrollton, GA 30117 Phone: 770-832-9140 Fax: 770-832-3046 | |
Corey Brian Hindman, M.ED., LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1601 Maple St, Carrollton, GA 30118 Phone: 678-839-5338 | |
Carolyn Sue Moore, Counselor Medicare: Not Enrolled in Medicare Practice Location: 523 Dixie St, Carrollton, GA 30117 Phone: 678-372-9979 | |
Ms. Tiffani Venigee Fryar, LPC Counselor Medicare: Medicare Enrolled Practice Location: 2032 Maple St, Carrollton, GA 30117 Phone: 678-890-6127 |