| Isom E White Lcsw, Llc | |
|
3050 Atlanta Rd Se Smyrna GA 30080-8255 | |
| (706) 425-8900 | |
| Not Available |
| Full Name | Isom E White Lcsw, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 3050 Atlanta Rd Se, Smyrna, Georgia |
| Authorized Official Name and Position | Isom E White (THERAPIST) |
| Authorized Official Contact | 6783928173 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Isom E White Lcsw, Llc 1 Huntington Rd Ste 703 Athens GA 30606-7214 Ph: (706) 425-8900 | Isom E White Lcsw, Llc 3050 Atlanta Rd Se Smyrna GA 30080-8255 Ph: (706) 425-8900 |
| NPI Number | 1104300250 |
|---|---|
| Provider Enumeration Date | 09/24/2018 |
| Last Update Date | 07/15/2019 |
| Medicare PECOS PAC ID | 5294072252 |
|---|---|
| Medicare Enrollment ID | O20190129001638 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104300250 | NPI | - | NPPES |
| Provider Name | Isom Eugene White |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265916464 PECOS PAC ID: 4284971243 Enrollment ID: I20190129001964 |
Concentric Behavioral Health Services Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1246 Concord Rd Se Ste 203, Smyrna, GA 30080 Phone: 404-491-0299 Fax: 404-369-1838 | |
Mended Minds, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4027 Chariot Cir Se, Smyrna, GA 30080 Phone: 404-790-6527 | |
Atlanta Innovative Counseling Center, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4045 Orchard Rd Se Ste 110, Smyrna, GA 30080 Phone: 770-293-1950 | |
Connected Minds Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 4255 Millside Walk Se, Smyrna, GA 30080 Phone: 229-854-2282 | |
Emerick Therapy Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1850 Lake Park Dr Se Ste 216, Smyrna, GA 30080 Phone: 770-810-5211 | |
Enlightened Therapeutic Counseling & Consulting Llc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3499 S Cobb Dr Se, Smyrna, GA 30080 Phone: 770-374-4933 | |
Atlanta Psychiatry & Neurology Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 3188 Atlanta Rd Se, Smyrna, GA 30080 Phone: 770-319-6000 |