| Ms Nickie Cole, | |
|
182 Ben Burton Cir Ste 200, Bogart, GA 30622-6848 | |
| (706) 224-6636 | |
| Not Available |
| Full Name | Ms Nickie Cole |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 182 Ben Burton Cir Ste 200, Bogart, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518346345 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | CSW005839 (Georgia) | Primary |
| Entity Name | New Reflections Counseling Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508393828 PECOS PAC ID: 0143594820 Enrollment ID: O20170919001904 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Nickie Cole, 182 Ben Burton Cir Ste 200, Bogart, GA 30622-6848 Ph: (706) 224-6636 | Ms Nickie Cole, 182 Ben Burton Cir Ste 200, Bogart, GA 30622-6848 Ph: (706) 224-6636 |
Michelle Durrett, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1540 Binghampton Cir, Bogart, GA 30622 Phone: 770-312-3754 | |
Mr. Dennis Caughy, L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4600 Heather Ln, Bogart, GA 30622 Phone: 972-742-1679 | |
Tina Tinsley, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 255 Chulitna Way, Bogart, GA 30622 Phone: 770-725-2667 Fax: 770-725-0683 | |
Kimberly Horner, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1751 Meriweather Dr Bldg B, Bogart, GA 30622 Phone: 706-543-4887 Fax: 706-543-4889 |