Discovery Counseling And Assessment Center, Llc | |
420 Thomaston St Zebulon GA 30295-3387 | |
(770) 710-2173 | |
Not Available |
Full Name | Discovery Counseling And Assessment Center, Llc |
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Speciality | Psychologist |
Location | 420 Thomaston St, Zebulon, Georgia |
Authorized Official Name and Position | Bruce N Grant (LICENSED PSYCHOLOGIST) |
Authorized Official Contact | 7707102173 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Discovery Counseling And Assessment Center, Llc 410 Murry Park Peachtree City GA 30269-2622 Ph: (770) 710-2173 | Discovery Counseling And Assessment Center, Llc 420 Thomaston St Zebulon GA 30295-3387 Ph: (770) 710-2173 |
NPI Number | 1629439617 |
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Provider Enumeration Date | 03/17/2016 |
Last Update Date | 03/26/2016 |
Medicare PECOS PAC ID | 5092014175 |
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Medicare Enrollment ID | O20160422002120 |
Identifier | Type | State | Issuer |
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1629439617 | NPI | - | NPPES |
003139432A | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
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103TC0700X | Psychologist - Clinical | PSY003711 (Georgia) | Primary |
Provider Name | Bruce Nicholas Grant |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1255517884 PECOS PAC ID: 3375719552 Enrollment ID: I20160422002189 |
Provider Name | Janet Lynn Sexton Matthews |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1851747141 PECOS PAC ID: 1759711039 Enrollment ID: I20200429001288 |
Provider Name | Charlotte Hurt |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1508122615 PECOS PAC ID: 1658794557 Enrollment ID: I20200710002036 |
Provider Name | Krystle D Stricklin |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1801344221 PECOS PAC ID: 6507280856 Enrollment ID: I20200721000913 |
Provider Name | Kristen Hanna |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1508382888 PECOS PAC ID: 5294136511 Enrollment ID: I20210624000887 |
Provider Name | Amelia Johns-riley |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1699365866 PECOS PAC ID: 3678952348 Enrollment ID: I20220627001890 |
Provider Name | Cynthia Dawn Merrick |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1477951325 PECOS PAC ID: 1052776762 Enrollment ID: I20230503000246 |
Provider Name | Jennifer Day |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1891314175 PECOS PAC ID: 1951741784 Enrollment ID: I20240426002542 |
Provider Name | Elizabeth Cavender |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1851021406 PECOS PAC ID: 4880036623 Enrollment ID: I20240524002674 |