Melissa Lester | |
621 North Ave Ne Building E Atlanta GA 30308-2857 | |
(770) 313-7768 | |
Not Available |
Full Name | Melissa Lester |
---|---|
Speciality | Social Worker |
Location | 621 North Ave Ne, Atlanta, Georgia |
Authorized Official Name and Position | Melissa Lester (PRESIDENT) |
Authorized Official Contact | 7703137768 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Melissa Lester 4219 Bonaparte Dr Tucker GA 30084-2206 Ph: (770) 313-7768 | Melissa Lester 621 North Ave Ne Building E Atlanta GA 30308-2857 Ph: (770) 313-7768 |
NPI Number | 1033475942 |
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Provider Enumeration Date | 04/04/2012 |
Last Update Date | 01/23/2024 |
Certification Date | 01/23/2024 |
Medicare PECOS PAC ID | 4284885021 |
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Medicare Enrollment ID | O20121105000009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1033475942 | NPI | - | NPPES |
1508929241 | Other | GA | PERSONAL NPI 1508929241 |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | CSW003082 (Georgia) | Primary |
Provider Name | Melissa A Lester |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1508929241 PECOS PAC ID: 7810148657 Enrollment ID: I20121105000016 |
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