| Macy Preston, | |
|
101 Quartz Dr Ste 103a, Villa Rica, GA 30180-3201 | |
| (770) 812-8863 | |
| (770) 812-3805 |
| Full Name | Macy Preston |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 101 Quartz Dr Ste 103a, Villa Rica, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891482790 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | CSW008398 (Georgia) | Primary |
| Entity Name | Tmc-behavioral Health Of West Georgia |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356795462 PECOS PAC ID: 2163714635 Enrollment ID: O20160705000347 |
| Entity Name | Grow Healthcare Group Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20220315000829 |
| Mailing Address | Practice Location Address |
|---|---|
| Macy Preston, 100 Greenway Blvd Box C, Carrollton, GA 30117 Ph: () - | Macy Preston, 101 Quartz Dr Ste 103a, Villa Rica, GA 30180-3201 Ph: (770) 812-8863 |
Mrs. Tanita M Teagle, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 60 Alloway Dr, Villa Rica, GA 30180 Phone: 404-210-5546 | |
Kalene Mcswain Faulkner, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 35 Preston Ct, Villa Rica, GA 30180 Phone: 909-461-0047 | |
Sharilee Benjamin, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1088 Magnolia Dr, Villa Rica, GA 30180 Phone: 301-455-4813 | |
Dr. Katina Felisa Fuller, DSW, LCSW, CCM Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 212 Bonnie Sue Dr, Villa Rica, GA 30180 Phone: 678-739-8497 | |
Mrs. Winnfred Timmons, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 244 Raleigh Way, Villa Rica, GA 30180 Phone: 770-815-1977 | |
Esther E Okuboyejo, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 514 W Bankhead Hwy Ste 100, Villa Rica, GA 30180 Phone: 678-941-3868 |