| Manna Treatment | |
|
3305 Breckinridge Blvd Ste 116 Duluth GA 30096-4932 | |
| (770) 495-9775 | |
| (770) 495-9745 |
| Full Name | Manna Treatment |
|---|---|
| Speciality | Clinic/Center |
| Location | 3305 Breckinridge Blvd Ste 116, Duluth, Georgia |
| Authorized Official Name and Position | Elizabeth Gene Burnett (DIRECTOR) |
| Authorized Official Contact | 7704959775 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Manna Treatment 3305 Breckinridge Blvd Ste 116 Duluth GA 30096-4932 Ph: (770) 495-9775 | Manna Treatment 3305 Breckinridge Blvd Ste 116 Duluth GA 30096-4932 Ph: (770) 495-9775 |
| NPI Number | 1083089239 |
|---|---|
| Provider Enumeration Date | 12/13/2015 |
| Last Update Date | 03/28/2022 |
| Certification Date | 03/28/2022 |
| Medicare PECOS PAC ID | 6709215817 |
|---|---|
| Medicare Enrollment ID | O20201001003087 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083089239 | NPI | - | NPPES |
| Provider Name | Barbara K Luttrell |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1194741744 PECOS PAC ID: 2668519554 Enrollment ID: I20091026000550 |
| Provider Name | Aleema S Zakers |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1649610544 PECOS PAC ID: 0345582094 Enrollment ID: I20190619001393 |
| Provider Name | Sandra Ann Peterson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497302046 PECOS PAC ID: 5698104370 Enrollment ID: I20200331003270 |
| Provider Name | Elizabeth Genie Burnett |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1548469695 PECOS PAC ID: 8921166968 Enrollment ID: I20201001003193 |
| Provider Name | Farah Rahim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831737501 PECOS PAC ID: 0345651816 Enrollment ID: I20201204002443 |
| Provider Name | Kelsey Sander |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366908246 PECOS PAC ID: 6608264411 Enrollment ID: I20211028000561 |
| Provider Name | Tara S Lynch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548728579 PECOS PAC ID: 7416334347 Enrollment ID: I20220516001772 |
| Provider Name | Crystal L Wood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891373288 PECOS PAC ID: 9133597669 Enrollment ID: I20221115000809 |
Stepping Stones Behavioral Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1470 Boggs Rd Apt 1004, Duluth, GA 30096 Phone: 678-431-8953 | |
Rick Kilmer Phd Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3066 Cardinal Lake Cir, Duluth, GA 30096 Phone: 770-597-4909 | |
Rebuilding Hope Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2392 Harpers Way, Duluth, GA 30097 Phone: 601-527-3533 Fax: 678-903-4190 | |
Out Of The Box, Counseling, Coaching, And Consulting Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 10475 Medlock Bridge Rd Ste 205, Duluth, GA 30097 Phone: 678-379-3781 Fax: 770-232-1326 | |
Kathryn Vaughn Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 3160 Main St Ste 102, Duluth, GA 30096 Phone: 470-426-5281 | |
K.m. Noonan, Ph.d., Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3121 Amesbury Way, Duluth, GA 30096 Phone: 770-490-0975 |