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 |
---|---|
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 |
---|---|
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 |
---|---|
Provider Enumeration Date | 03/17/2016 |
Last Update Date | 03/26/2016 |
Medicare PECOS PAC ID | 5092014175 |
---|---|
Medicare Enrollment ID | O20160422002120 |
Identifier | Type | State | Issuer |
---|---|---|---|
1629439617 | NPI | - | NPPES |
003139432A | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | PSY003711 (Georgia) | Primary |
Provider Name | Bruce Nicholas Grant |
---|---|
Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1255517884 PECOS PAC ID: 3375719552 Enrollment ID: I20160422002189 |
Provider Name | Janet Lynn Sexton Matthews |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1851747141 PECOS PAC ID: 1759711039 Enrollment ID: I20200429001288 |
Provider Name | Charlotte Hurt |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1508122615 PECOS PAC ID: 1658794557 Enrollment ID: I20200710002036 |
Provider Name | Krystle D Stricklin |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1801344221 PECOS PAC ID: 6507280856 Enrollment ID: I20200721000913 |
Provider Name | Kristen Hanna |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1508382888 PECOS PAC ID: 5294136511 Enrollment ID: I20210624000887 |
Provider Name | Amelia Johns-riley |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1699365866 PECOS PAC ID: 3678952348 Enrollment ID: I20220627001890 |
Provider Name | Cynthia Dawn Merrick |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1477951325 PECOS PAC ID: 1052776762 Enrollment ID: I20230503000246 |
Provider Name | Jennifer Day |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1891314175 PECOS PAC ID: 1951741784 Enrollment ID: I20240426002542 |
Provider Name | Betty K Demine |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1366084576 PECOS PAC ID: 9133569551 Enrollment ID: I20240502002229 |
Provider Name | Elizabeth Cavender |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1851021406 PECOS PAC ID: 4880036623 Enrollment ID: I20240524002674 |
Provider Name | Cailla Grizzle |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1134882160 PECOS PAC ID: 1850838616 Enrollment ID: I20240730001942 |
Provider Name | Dimetrius Perrymond |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1619715182 PECOS PAC ID: 9931646403 Enrollment ID: I20240801002022 |
Provider Name | Sherri Christopher |
---|---|
Provider Type | Practitioner - Marriage And Family Therapist |
Provider Identifiers | NPI Number: 1114379963 PECOS PAC ID: 2365974052 Enrollment ID: I20241018003326 |
Provider Name | Alexander Divergilio |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1477135739 PECOS PAC ID: 3971035569 Enrollment ID: I20241021003522 |
Provider Name | Lydia Threatt |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1982187118 PECOS PAC ID: 2466985718 Enrollment ID: I20241025001163 |
Provider Name | Terilynn Culverhouse |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1518431980 PECOS PAC ID: 7810420833 Enrollment ID: I20241030000658 |
Provider Name | Shianna Cruz |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1427521442 PECOS PAC ID: 9234662065 Enrollment ID: I20241031001508 |
Provider Name | Kelly Pinnick |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1891168647 PECOS PAC ID: 0345773057 Enrollment ID: I20241101000622 |
Provider Name | Crystal Johnson |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1043682420 PECOS PAC ID: 8921531633 Enrollment ID: I20241101000879 |
Provider Name | Julie Renee Evans |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1154690345 PECOS PAC ID: 3779016423 Enrollment ID: I20241101002694 |
Provider Name | Elsa Vicente |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1912270844 PECOS PAC ID: 8921531609 Enrollment ID: I20241102000357 |
Provider Name | Kristian Perkins May |
---|---|
Provider Type | Practitioner - Marriage And Family Therapist |
Provider Identifiers | NPI Number: 1124478961 PECOS PAC ID: 6901339514 Enrollment ID: I20241104001201 |
Provider Name | Sarah Jane Booth |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1477336667 PECOS PAC ID: 6901339548 Enrollment ID: I20241104002662 |
Provider Name | Ayesha Harrell |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1992178073 PECOS PAC ID: 9638603269 Enrollment ID: I20241105002698 |
Provider Name | Kishon Kelley |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1255101622 PECOS PAC ID: 7517492226 Enrollment ID: I20241118003903 |