| Mrs Michele Lynn Malone, LCSW | |
|
4331 Thurmon Tanner Rd # Ga30542, Flowery Branch, GA 30542-2829 | |
| (678) 513-5831 | |
| Not Available |
| Full Name | Mrs Michele Lynn Malone |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 4331 Thurmon Tanner Rd # Ga30542, Flowery Branch, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932341906 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | CSW004629 (Georgia) | Primary |
| 104100000X | Social Worker | 004511 (Georgia) | Secondary |
| Entity Name | Georgia Mountains Community Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063522035 PECOS PAC ID: 8921094400 Enrollment ID: O20040421000783 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Michele Lynn Malone, LCSW 4331 Thurmon Tanner Rd # Ga30542, Flowery Branch, GA 30542-2829 Ph: (678) 513-5831 | Mrs Michele Lynn Malone, LCSW 4331 Thurmon Tanner Rd # Ga30542, Flowery Branch, GA 30542-2829 Ph: (678) 513-5831 |
Janelle Elizabeth Luczka, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4331 Thurmond Tanner Pkwy, Flowery Branch, GA 30542 Phone: 678-513-5700 | |
Kristi Villa, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6291 Shoreview Cir, Flowery Branch, GA 30542 Phone: 407-844-8458 | |
Ms. Carolyn Hodge-armstrong, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4331 Thurmond Tanner Rd, Flowery Branch, GA 30542 Phone: 678-513-5700 | |
Bobbie Girardeau, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4331 Thurmond Tanner Pkwy, Flowery Branch, GA 30542 Phone: 678-513-5700 Fax: 678-513-5836 | |
Stephanie Jane Bailey, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4331 Thurmon Tanner Rd, Flowery Branch, GA 30542 Phone: 678-513-5700 | |
Shaakira A Ford, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 4919 Atlanta Hwy, Flowery Branch, GA 30542 Phone: 770-848-9160 Fax: 770-848-9161 | |
Mrs. Melissa Lacount Vaughn, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4331 Thurmon Tanner Parkway, Flowery Branch, GA 30542 Phone: 678-513-5700 |