| Ar Psychiatric & Counseling Center Llc | |
|
3312 N Oak St Ext Bldg D Valdosta GA 31605-1066 | |
| (229) 244-2030 | |
| (229) 244-2038 |
| Full Name | Ar Psychiatric & Counseling Center Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 3312 N Oak St Ext Bldg D, Valdosta, Georgia |
| Authorized Official Name and Position | Anil Kumar Gupta (OWNER) |
| Authorized Official Contact | 2292442030 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ar Psychiatric & Counseling Center Llc 3312 N Oak St Ext Bldg D Valdosta GA 31605-1066 Ph: (229) 244-2030 | Ar Psychiatric & Counseling Center Llc 3312 N Oak St Ext Bldg D Valdosta GA 31605-1066 Ph: (229) 244-2030 |
| NPI Number | 1205126943 |
|---|---|
| Provider Enumeration Date | 04/14/2011 |
| Last Update Date | 09/08/2020 |
| Certification Date | 09/08/2020 |
| Medicare PECOS PAC ID | 9335326941 |
|---|---|
| Medicare Enrollment ID | O20110608000496 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205126943 | NPI | - | NPPES |
| 00934975E | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Michele L Walker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366467268 PECOS PAC ID: 4688652316 Enrollment ID: I20040709000740 |
| Provider Name | Bhavesh Patel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1417985730 PECOS PAC ID: 6002845567 Enrollment ID: I20050805000260 |
| Provider Name | Anil K Gupta |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1568490944 PECOS PAC ID: 5294771325 Enrollment ID: I20060215000360 |
| Provider Name | Tracy W Corbett |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336171099 PECOS PAC ID: 3779590179 Enrollment ID: I20060309000388 |
| Provider Name | Aneisa Young |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437523859 PECOS PAC ID: 0749587053 Enrollment ID: I20160401000147 |
| Provider Name | Regina Scruggs |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043332166 PECOS PAC ID: 7416255021 Enrollment ID: I20160415000168 |
| Provider Name | Destin Stewart |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1033545785 PECOS PAC ID: 1355755943 Enrollment ID: I20210121002097 |
| Provider Name | Nyesia Knight |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487219770 PECOS PAC ID: 1254719792 Enrollment ID: I20220613000184 |
| Provider Name | Laura Andraya Way |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366131401 PECOS PAC ID: 7416308390 Enrollment ID: I20240104001950 |
| Provider Name | Mikeya Vega |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871902874 PECOS PAC ID: 8325491897 Enrollment ID: I20240131003675 |
Lynze Vickers, Lmft, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3350 Noble Way, Suite B, Valdosta, GA 31605 Phone: 229-333-0300 | |
Renewed Mind Counseling Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2109 N Patterson St Ste B, Valdosta, GA 31602 Phone: 229-232-4833 Fax: 877-343-0538 | |
Southern Neurology, Physical Medicine & Rehabilitation, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4913 Lanes Pond Rd, Valdosta, GA 31601 Phone: 229-292-2074 | |
Megan Tillman Lmft Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3310 Bemiss Rd, Valdosta, GA 31605 Phone: 229-586-6082 | |
The Healing Touch Counseling Center, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4072 Mulligan Rd, Valdosta, GA 31605 Phone: 229-356-7190 | |
Greenleaf Center Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2209 Pineview Dr, Valdosta, GA 31602 Phone: 229-247-4357 Fax: 229-244-6194 | |
Cazales Autism Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2704 N Oak St Bldg A1, Valdosta, GA 31602 Phone: 203-606-1676 Fax: 229-598-0557 |