Olivia Gupton, | |
708 W Taylor St, Griffin, GA 30223-2720 | |
(678) 588-2119 | |
Not Available |
Full Name | Olivia Gupton |
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Gender | Female |
Speciality | Psychologist - Clinical |
Location | 708 W Taylor St, Griffin, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1376283846 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | PSY004587 (Georgia) | Primary |
Entity Name | Thrive Counseling Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215181300 PECOS PAC ID: 0749458420 Enrollment ID: O20120504000149 |
Mailing Address | Practice Location Address |
---|---|
Olivia Gupton, 1321 Whitlock Ridge Dr Sw, Marietta, GA 30064-5417 Ph: (678) 938-6886 | Olivia Gupton, 708 W Taylor St, Griffin, GA 30223-2720 Ph: (678) 588-2119 |
Dr. Hugh Allen Christie, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 220c W College St, Griffin, GA 30224 Phone: 770-228-9317 Fax: 770-228-8397 | |
Dr. Adesola Omotayo Fabayo, M.D. Psychologist Medicare: Medicare Enrolled Practice Location: 610 S 8th St, Suite F, Griffin, GA 30224 Phone: 770-228-8550 Fax: 770-228-1478 | |
Dr. Carol Frances Shockley, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 231 S 10th St, Suite B, Griffin, GA 30224 Phone: 770-233-2822 Fax: 770-233-2810 | |
Dr. Michael Joslyn Morgan Jr., PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 220 W College St Ste C, Griffin, GA 30224 Phone: 470-743-8264 | |
Lynda Brooks Bolton, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2914 Macon Road, Griffin, GA 30224 Phone: 770-229-9324 Fax: 770-229-9796 | |
Dr. Frank V Gordon Jr., PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 308 S 5th St, Griffin, GA 30224 Phone: 770-229-1150 |