| The Stevens Clinic | |
|
405 S Thornton Ave Dalton GA 30720-8285 | |
| (706) 226-1146 | |
| (706) 226-1483 |
| Full Name | The Stevens Clinic |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 405 S Thornton Ave, Dalton, Georgia |
| Authorized Official Name and Position | Stephanie Smith (OFFICE MANAGER) |
| Authorized Official Contact | 7062261146 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Stevens Clinic 405 South Thornton Ave Dalton GA 30720 Ph: (706) 226-1146 | The Stevens Clinic 405 S Thornton Ave Dalton GA 30720-8285 Ph: (706) 226-1146 |
| NPI Number | 1033385158 |
|---|---|
| Provider Enumeration Date | 05/08/2008 |
| Last Update Date | 05/08/2008 |
| Medicare PECOS PAC ID | 7517017288 |
|---|---|
| Medicare Enrollment ID | O20090618000460 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033385158 | NPI | - | NPPES |
| 00675353D | Medicaid | GA | |
| 00665871D | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 001895 (Georgia) | Secondary |
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | 040248 (Georgia) | Primary |
| Provider Name | David T Stevens |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1831133438 PECOS PAC ID: 9133183908 Enrollment ID: I20041112000413 |
Highland Rivers Community Service Board Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1968 Dawnville Beaverdale Rd Ne, Dalton, GA 30721 Phone: 706-270-5033 Fax: 706-370-7749 | |
Ameripartner Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1815 Marthas Bridge Rd, Dalton, GA 30720 Phone: 423-265-4700 Fax: 423-265-4707 | |
Highland Rivers Whitfield Day & Csi Serivces Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 900 Shugart Rd, Suite B, Dalton, GA 30720 Phone: 706-270-5027 Fax: 706-270-5022 | |
Kiwiaba Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1401 Applewood Dr Ste 2, Dalton, GA 30720 Phone: 718-404-2564 | |
Pollard Counseling Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 302 S Thornton Ave, Suite 2, Dalton, GA 30720 Phone: 706-529-5980 Fax: 706-529-5982 | |
Highland Rivers Whitfield County C&a Office Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 900 Shugart Rd, Suite C, Dalton, GA 30720 Phone: 706-270-5047 Fax: 706-270-5055 |