| Blakely Harper Lcsw Pc | |
|
3350 Noble Way Ste B Valdosta GA 31605-7444 | |
| (229) 333-0300 | |
| (229) 333-0306 |
| Full Name | Blakely Harper Lcsw Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 3350 Noble Way Ste B, Valdosta, Georgia |
| Authorized Official Name and Position | Blakely Harper (OWNER, THERAPIST) |
| Authorized Official Contact | 2293330300 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Blakely Harper Lcsw Pc 12 Sweet Gum Trl Tifton GA 31793-8498 Ph: (229) 333-0300 | Blakely Harper Lcsw Pc 3350 Noble Way Ste B Valdosta GA 31605-7444 Ph: (229) 333-0300 |
| NPI Number | 1497240543 |
|---|---|
| Provider Enumeration Date | 06/29/2018 |
| Last Update Date | 06/29/2018 |
| Medicare PECOS PAC ID | 1951654854 |
|---|---|
| Medicare Enrollment ID | O20181023001472 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497240543 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Blakely Harper |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831681006 PECOS PAC ID: 2264785187 Enrollment ID: I20181023002405 |
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 | |
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