| Misty Scott Bert | |
|
32 E Main St Forsyth GA 31029-1839 | |
| (470) 236-3478 | |
| Not Available |
| Full Name | Misty Scott Bert |
|---|---|
| Speciality | Counselor - Professional |
| Location | 32 E Main St, Forsyth, Georgia |
| Authorized Official Name and Position | Misty Scott Bert (PROFESSIONAL COUNSELOR) |
| Authorized Official Contact | 4702363478 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Misty Scott Bert 32 E Main St Forsyth GA 31029-1839 Ph: (470) 236-3478 | Misty Scott Bert 32 E Main St Forsyth GA 31029-1839 Ph: (470) 236-3478 |
| NPI Number | 1407218993 |
|---|---|
| Provider Enumeration Date | 03/23/2016 |
| Last Update Date | 03/23/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407218993 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | LPC008838 (Georgia) | Primary |
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