| Keystone Counseling Center | |
|
275 Country Club Dr Stockbridge GA 30281-7349 | |
| (770) 474-8400 | |
| (770) 474-3738 |
| Full Name | Keystone Counseling Center |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 275 Country Club Dr, Stockbridge, Georgia |
| Authorized Official Name and Position | David Hermecz (PARTNER) |
| Authorized Official Contact | 7704748400 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Keystone Counseling Center 275 Country Club Dr Stockbridge GA 30281-7349 Ph: (770) 474-8400 | Keystone Counseling Center 275 Country Club Dr Stockbridge GA 30281-7349 Ph: (770) 474-8400 |
| NPI Number | 1417092339 |
|---|---|
| Provider Enumeration Date | 02/20/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 1850389099 |
|---|---|
| Medicare Enrollment ID | O20040505000660 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417092339 | NPI | - | NPPES |
| Provider Name | Karla E Redman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073691911 PECOS PAC ID: 5991773665 Enrollment ID: I20040921000126 |
| Provider Name | Andrea M Smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164753034 PECOS PAC ID: 7012041213 Enrollment ID: I20100810000350 |
| Provider Name | Margaret O Weaver |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1265582357 PECOS PAC ID: 4284809179 Enrollment ID: I20111205000206 |
| Provider Name | Joyce Webb |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1073696951 PECOS PAC ID: 0840396016 Enrollment ID: I20111207000383 |
| Provider Name | David Hermecz |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1699849265 PECOS PAC ID: 0345415089 Enrollment ID: I20111208000547 |
Walk In The Light Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 225 Country Club Dr, Suite 100 D, Stockbridge, GA 30281 Phone: 888-688-6954 Fax: 888-688-6951 | |
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