| Northeast Georgia Psychological Services Llc | |
|
4073 Highway 53 Hoschton GA 30548-2305 | |
| (770) 882-5884 | |
| Not Available |
| Full Name | Northeast Georgia Psychological Services Llc |
|---|---|
| Speciality | Psychologist |
| Location | 4073 Highway 53, Hoschton, Georgia |
| Authorized Official Name and Position | Heather Futral (LICENSED PSYCHOLOGIST) |
| Authorized Official Contact | 6786136643 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Northeast Georgia Psychological Services Llc 4073 Highway 53 Hoschton GA 30548-2305 Ph: () - | Northeast Georgia Psychological Services Llc 4073 Highway 53 Hoschton GA 30548-2305 Ph: (770) 882-5884 |
| NPI Number | 1407230410 |
|---|---|
| Provider Enumeration Date | 07/20/2015 |
| Last Update Date | 10/16/2015 |
| Medicare PECOS PAC ID | 1850600891 |
|---|---|
| Medicare Enrollment ID | O20151014001687 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407230410 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PSY003418 (Georgia) | Primary |
| Provider Name | Deborah Gunnin |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1588225619 PECOS PAC ID: 0840222444 Enrollment ID: I20050902000657 |
| Provider Name | Julie A Pope |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1447378344 PECOS PAC ID: 7315123809 Enrollment ID: I20110518000235 |
| Provider Name | Heather Chelsey Futral |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1487954384 PECOS PAC ID: 2769791706 Enrollment ID: I20151014001892 |
| Provider Name | Mercedes M Kamerman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1487103834 PECOS PAC ID: 1052691490 Enrollment ID: I20161201000730 |
| Provider Name | Vanessa Pellicci |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689883332 PECOS PAC ID: 2860732757 Enrollment ID: I20190312001943 |
| Provider Name | Florin Selagea |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1427464536 PECOS PAC ID: 9638509599 Enrollment ID: I20200417001307 |
| Provider Name | Lydia Breer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194357913 PECOS PAC ID: 9830512656 Enrollment ID: I20200711000001 |
| Provider Name | Jordan Keener |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1710679675 PECOS PAC ID: 8729429790 Enrollment ID: I20240509000123 |
| Provider Name | Ashley Lundi |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1396423224 PECOS PAC ID: 5193166940 Enrollment ID: I20240511000273 |
| Provider Name | Heather Mathis |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1518207489 PECOS PAC ID: 9638510480 Enrollment ID: I20240511000286 |
| Provider Name | Rebecca Bouras |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1417726480 PECOS PAC ID: 1850733494 Enrollment ID: I20240528002058 |
| Provider Name | Brenda Brunston |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1245984210 PECOS PAC ID: 8729520259 Enrollment ID: I20240611004150 |
Mulberry Counseling, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 19 Rainy Ct, Hoschton, GA 30548 Phone: 678-447-5118 | |
Sarah Addison, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5415 Thompson Mill Rd, Hoschton, GA 30548 Phone: 678-231-5557 Fax: 706-850-0899 | |
Zen2win, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 255 Lamar Ln, Hoschton, GA 30548 Phone: 706-824-1925 | |
Gray Matter Wellness Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 982 Ga-124, Hoschton, GA 30548 Phone: 404-960-9629 | |
Cognitive Behavioral Health Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5415 Thompson Mill Road Ste B, Dr Devin Vicknair, Hoschton, GA 30548 Phone: 770-827-2262 Fax: 770-783-8927 |