| Mrs Kristen Anton, LCSW | |
|
80 Duck Pond Way, Senoia, GA 30276-3596 | |
| (334) 477-7527 | |
| Not Available |
| Full Name | Mrs Kristen Anton |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 80 Duck Pond Way, Senoia, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881967420 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 4303C (Alabama) | Secondary |
| 1041C0700X | Social Worker - Clinical | CSW008641 (Georgia) | Primary |
| Entity Name | Elevate Behavioral Health And Wellness Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568226215 PECOS PAC ID: 5496192015 Enrollment ID: O20240319001493 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Kristen Anton, LCSW 80 Duck Pond Way, Senoia, GA 30276-3596 Ph: () - | Mrs Kristen Anton, LCSW 80 Duck Pond Way, Senoia, GA 30276-3596 Ph: (334) 477-7527 |
Raymond Thomas Giunta, LCSW-QS Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 125 Wet Stone Rd, Senoia, GA 30276 Phone: 702-336-4480 | |
Harley Martin, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 226 Glazier Farms Dr, Senoia, GA 30276 Phone: 770-689-6577 | |
Mrs. Kim Pogue, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 48 Main St, Suite 3a, Senoia, GA 30276 Phone: 678-723-0400 Fax: 770-599-9779 |