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4434 Columbia Rd Ste 201 Martinez GA 30907-4282 | |
| (706) 305-4928 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Counselor - Professional |
| Location | 4434 Columbia Rd Ste 201, Martinez, Georgia |
| Authorized Official Name and Position | Emily Beall (LICENSED PROFESSIONAL COUNSELOR) |
| Authorized Official Contact | 7063054928 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
4434 Columbia Rd Ste 201 Martinez GA 30907-4282 Ph: (706) 305-4928 | 4434 Columbia Rd Ste 201 Martinez GA 30907-4282 Ph: (706) 305-4928 |
| NPI Number | 1710686167 |
|---|---|
| Provider Enumeration Date | 02/24/2023 |
| Last Update Date | 01/20/2025 |
| Certification Date | 01/20/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710686167 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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D. W. De Vose & Associates, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4210 Columbia Rd Ste 11b, Martinez, GA 30907 Phone: 706-364-6576 Fax: 888-445-2452 | |
Agape Behavioral Healthcare And Counseling, Llc . Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3711 Executive Center Dr, Martinez, GA 30907 Phone: 912-541-2801 | |
Randy Georgemiller, Ph.d., P.c. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4115 Columbia Rd, Suite 5-305, Martinez, GA 30907 Phone: 847-913-5175 |