| Psychology And Counseling Centers Pc | |
|
17 Felton Pl Suite A Cartersville GA 30120-2153 | |
| (770) 386-8996 | |
| (770) 386-8100 |
| Full Name | Psychology And Counseling Centers Pc |
|---|---|
| Speciality | Psychologist |
| Location | 17 Felton Pl, Cartersville, Georgia |
| Authorized Official Name and Position | William B Moon (OWNER) |
| Authorized Official Contact | 7703868996 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Psychology And Counseling Centers Pc 17 Felton Pl Suite A Cartersville GA 30120-2153 Ph: (770) 386-8996 | Psychology And Counseling Centers Pc 17 Felton Pl Suite A Cartersville GA 30120-2153 Ph: (770) 386-8996 |
| NPI Number | 1417281619 |
|---|---|
| Provider Enumeration Date | 09/22/2009 |
| Last Update Date | 09/22/2009 |
| Medicare PECOS PAC ID | 7113188608 |
|---|---|
| Medicare Enrollment ID | O20120410000340 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417281619 | NPI | - | NPPES |
| 000418371F | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PSY001063 (Georgia) | Primary |
| Provider Name | Robert F Norton |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1548357585 PECOS PAC ID: 1850286626 Enrollment ID: I20040219000688 |
| Provider Name | William B Moon |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1043307085 PECOS PAC ID: 2466613963 Enrollment ID: I20120410000387 |
| Provider Name | Gary R Jonathan Hill |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1457730491 PECOS PAC ID: 4880994532 Enrollment ID: I20151230000442 |
| Provider Name | Jennifer Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1770943326 PECOS PAC ID: 7113296930 Enrollment ID: I20170710002067 |
| Provider Name | Sharon Rinks |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1437318375 PECOS PAC ID: 1052652161 Enrollment ID: I20190417001846 |
| Provider Name | Alan W Brue |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1407451164 PECOS PAC ID: 3476969304 Enrollment ID: I20210301001971 |
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