Amanda Kay Dutton, LPC | |
9010 Pine Tree Cir, Gainesville, GA 30506-4039 | |
(678) 541-8917 | |
Not Available |
Full Name | Amanda Kay Dutton |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 9010 Pine Tree Cir, Gainesville, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1467870501 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | LPC0016126 (Colorado) | Secondary |
101YP2500X | Counselor - Professional | LPC009255 (Georgia) | Primary |
Entity Name | Grow Healthcare Group Pa |
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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 |
---|---|
Amanda Kay Dutton, LPC 5021 Florence St, Oakwood, GA 30566-2646 Ph: (678) 541-8917 | Amanda Kay Dutton, LPC 9010 Pine Tree Cir, Gainesville, GA 30506-4039 Ph: (678) 541-8917 |
Sherese Twyana Mccullough, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2419 Old Thompson Bridge Rd Apt J5, Gainesville, GA 30501 Phone: 678-858-3322 | |
Margie Suzanne Smith, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 621 Washington St Sw Ste A2, Gainesville, GA 30501 Phone: 770-287-1356 Fax: 770-287-1352 | |
Marne Day, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 5512 Mallard Walk, Gainesville, GA 30504 Phone: 470-387-9298 | |
Bath-ammi Garcia, MS, CRC, LAPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 700 Washington St Nw Apt 1006, Gainesville, GA 30501 Phone: 404-713-7831 | |
Martha Pittman Engstrom, Counselor Medicare: Not Enrolled in Medicare Practice Location: 210 Washington St Nw Ste 206, Gainesville, GA 30501 Phone: 770-758-4940 | |
Jonathan Howell, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 915 Interstate Ridge, Suite G, Gainesville, GA 30501 Phone: 678-207-2900 Fax: 678-513-5836 | |
Haley Ann Williams, Counselor Medicare: Not Enrolled in Medicare Practice Location: 201 Forrest Ave Ste 201-b, Gainesville, GA 30501 Phone: 470-355-5230 |