| Elizabeth R. Glaze, Lpc, Llc | |
|
3504 Professional Cir Ste A Augusta GA 30907-8236 | |
| (706) 288-5082 | |
| (706) 863-0941 |
| Full Name | Elizabeth R. Glaze, Lpc, Llc |
|---|---|
| Speciality | Counselor |
| Location | 3504 Professional Cir Ste A, Augusta, Georgia |
| Authorized Official Name and Position | Elizabeth Ray Glaze (PRESIDENT) |
| Authorized Official Contact | 7062885082 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Elizabeth R. Glaze, Lpc, Llc Po Box 238 Appling GA 30802-0238 Ph: (706) 288-5082 | Elizabeth R. Glaze, Lpc, Llc 3504 Professional Cir Ste A Augusta GA 30907-8236 Ph: (706) 288-5082 |
| NPI Number | 1912283508 |
|---|---|
| Provider Enumeration Date | 10/26/2011 |
| Last Update Date | 01/28/2025 |
| Certification Date | 01/28/2025 |
| Medicare PECOS PAC ID | 8628414430 |
|---|---|
| Medicare Enrollment ID | O20240319002371 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912283508 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | LPC003774 (Georgia) | Primary |
| Provider Name | Elizabeth Ray Glaze |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1790887206 PECOS PAC ID: 3173969987 Enrollment ID: I20240319002614 |
Breakthrough Counseling, Coaching And Consulting Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2903 Galahad Way, Augusta, GA 30909 Phone: 404-496-4614 Fax: 866-923-0754 | |
Samantha L Amses Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 211 Pleasant Home Rd Ste G1, Augusta, GA 30907 Phone: 908-433-4484 Fax: 706-364-4589 | |
Perez Counseling And Consulting Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1051 Sims Dr, Augusta, GA 30909 Phone: 706-589-0914 | |
Living-in-care Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 716 5th St, Augusta, GA 30901 Phone: 912-605-6167 | |