| Access Mental Health Agency, Llc | |
|
215 Lakewood Way Sw Suite #205 Atlanta GA 30315 | |
| (678) 701-8978 | |
| (888) 522-5987 |
| Full Name | Access Mental Health Agency, Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 215 Lakewood Way Sw, Atlanta, Georgia |
| Authorized Official Name and Position | Milton R. Harrison (CFO) |
| Authorized Official Contact | 9196324611 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Access Mental Health Agency, Llc Po Box 5863 Cary NC 27512 Ph: (919) 632-4611 | Access Mental Health Agency, Llc 215 Lakewood Way Sw Suite #205 Atlanta GA 30315 Ph: (678) 701-8978 |
| NPI Number | 1881848174 |
|---|---|
| Provider Enumeration Date | 11/13/2008 |
| Last Update Date | 09/15/2014 |
| Medicare PECOS PAC ID | 3274854823 |
|---|---|
| Medicare Enrollment ID | O20150608001213 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881848174 | NPI | - | NPPES |
| 075684824B | Medicaid | GA | |
| 075684824A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Mark Vakkur |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1043224199 PECOS PAC ID: 5193702066 Enrollment ID: I20040630000161 |
| Provider Name | Maria Elizabeth Johnson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1265653232 PECOS PAC ID: 2860532983 Enrollment ID: I20091222000403 |
| Provider Name | Dion S Metzger |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1609050541 PECOS PAC ID: 4082746854 Enrollment ID: I20100714000020 |
| Provider Name | Michele E Price |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871034413 PECOS PAC ID: 5193092062 Enrollment ID: I20170524001309 |
| Provider Name | Aunteryo Malcom |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1215532353 PECOS PAC ID: 8820441900 Enrollment ID: I20240124004284 |
| Provider Name | Wakisha Evelyn Smith Harvey |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1396040887 PECOS PAC ID: 7810340684 Enrollment ID: I20240129000379 |
| Provider Name | Kisha Love |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1396034427 PECOS PAC ID: 1557712304 Enrollment ID: I20240216000554 |
| Provider Name | Renita Howard |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1558983080 PECOS PAC ID: 6002251618 Enrollment ID: I20240305001171 |
| Provider Name | Shanique Griffiths |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1356865265 PECOS PAC ID: 5193160778 Enrollment ID: I20240305003629 |
| Provider Name | Terrie Tarleton |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1104179357 PECOS PAC ID: 4082053582 Enrollment ID: I20240417000696 |
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