| Counseling Associates For Well-being Llc | |
|
1 Huntington Rd Suite 703 Athens GA 30606-7204 | |
| (706) 425-8900 | |
| (706) 425-8600 |
| Full Name | Counseling Associates For Well-being Llc |
|---|---|
| Speciality | Social Worker |
| Location | 1 Huntington Rd, Athens, Georgia |
| Authorized Official Name and Position | Claire Nichols Zimmerman (CO-OWNER) |
| Authorized Official Contact | 7064258900 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Counseling Associates For Well-being Llc 1 Huntington Rd Ste 703 Athens GA 30606-7214 Ph: (706) 425-8900 | Counseling Associates For Well-being Llc 1 Huntington Rd Suite 703 Athens GA 30606-7204 Ph: (706) 425-8900 |
| NPI Number | 1326599739 |
|---|---|
| Provider Enumeration Date | 10/20/2016 |
| Last Update Date | 09/26/2023 |
| Certification Date | 09/26/2023 |
| Medicare PECOS PAC ID | 1850753179 |
|---|---|
| Medicare Enrollment ID | O20230817001709 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326599739 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | CSW3018 (Georgia) | Primary |
| Provider Name | Lindsey York |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699122432 PECOS PAC ID: 0042559346 Enrollment ID: I20190304002935 |
| Provider Name | Morgan Lyndey Mccurry |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447907936 PECOS PAC ID: 3779945027 Enrollment ID: I20230817003055 |
| Provider Name | Samuel Eugene Jones |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255913794 PECOS PAC ID: 6103288469 Enrollment ID: I20230817003287 |
| Provider Name | Elizabeth Thacker |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1215688155 PECOS PAC ID: 1951750876 Enrollment ID: I20231218000745 |
| Provider Name | Shelby Banach |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740840883 PECOS PAC ID: 7810334349 Enrollment ID: I20240320001402 |
| Provider Name | Yessica Elizabeth Ross |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1134791510 PECOS PAC ID: 3971941725 Enrollment ID: I20240329001804 |
| Provider Name | Jamie Meredith Israel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114518529 PECOS PAC ID: 2466994611 Enrollment ID: I20240604001393 |
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