| Aderinola Aiyeola, | |
|
1468 Cheyenne Ct, Stone Mountain, GA 30087-3101 | |
| (678) 468-5090 | |
| Not Available |
| Full Name | Aderinola Aiyeola |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 1468 Cheyenne Ct, Stone Mountain, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396347803 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Secondary |
| 101YP2500X | Counselor - Professional | LPC011770 (Georgia) | Primary |
| Entity Name | Sondermind Provider Network Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760854442 PECOS PAC ID: 9537572490 Enrollment ID: O20210326001541 |
| Mailing Address | Practice Location Address |
|---|---|
| Aderinola Aiyeola, 3348 Peachtree Rd Ne Ste 700, Atlanta, GA 30326-1682 Ph: (678) 468-5090 | Aderinola Aiyeola, 1468 Cheyenne Ct, Stone Mountain, GA 30087-3101 Ph: (678) 468-5090 |
Ms. Carla D Hawkins, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 747 Lauren Pkwy, Stone Mountain, GA 30083 Phone: 678-576-3824 Fax: 770-469-2838 | |
Ellie D. Moody, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2300 W Park Pl Ste 135, Stone Mountain, GA 30087 Phone: 678-330-1400 | |
Mr. Oronde Hamani Yero, MS, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4675 Mercer Rd, Stone Mountain, GA 30083 Phone: 678-887-0495 | |
Cierra Harris, Counselor Medicare: Medicare Enrolled Practice Location: 221 Scenic View Ln, Stone Mountain, GA 30087 Phone: 757-582-1534 | |
Dana Jennings, EDS, LPC, NCC Counselor Medicare: Medicare Enrolled Practice Location: 1505 Ashbrooke Trce, Stone Mountain, GA 30083 Phone: 770-315-9033 | |
Barbara Ann Sims-king, LPC Counselor Medicare: Medicare Enrolled Practice Location: 1005 Summit Lake Dr, Stone Mountain, GA 30083 Phone: 317-487-9554 | |
Mrs. Jylise Lovelle Middleton, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 632 Field Cliff Dr, Stone Mountain, GA 30087 Phone: 404-518-9028 |