| Augusta Center For Cognitive Behavior Therapy Llc | |
|
601 N Belair Sq Ste 19 Evans GA 30809-4324 | |
| (762) 328-9785 | |
| Not Available |
| Full Name | Augusta Center For Cognitive Behavior Therapy Llc |
|---|---|
| Speciality | Social Worker |
| Location | 601 N Belair Sq Ste 19, Evans, Georgia |
| Authorized Official Name and Position | Jason L Pearce (CEO) |
| Authorized Official Contact | 7623289785 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Augusta Center For Cognitive Behavior Therapy Llc 5770 Whispering Pines Way Evans GA 30809-7272 Ph: () - | Augusta Center For Cognitive Behavior Therapy Llc 601 N Belair Sq Ste 19 Evans GA 30809-4324 Ph: (762) 328-9785 |
| NPI Number | 1386423812 |
|---|---|
| Provider Enumeration Date | 09/25/2023 |
| Last Update Date | 02/22/2024 |
| Certification Date | 02/22/2024 |
| Medicare PECOS PAC ID | 8022468263 |
|---|---|
| Medicare Enrollment ID | O20231229001349 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386423812 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Jason Pearce |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285026336 PECOS PAC ID: 7416302609 Enrollment ID: I20231007000723 |
| Provider Name | Bethany Griggs |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1700211539 PECOS PAC ID: 5890130157 Enrollment ID: I20240227002280 |
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