Anissa Prefontaine, LCSW | |
445 Winn Way, Decatur, GA 30030-1707 | |
(404) 508-7700 | |
Not Available |
Full Name | Anissa Prefontaine |
---|---|
Gender | Female |
Speciality | Clinical Social Worker |
Experience | 22 Years |
Location | 445 Winn Way, Decatur, Georgia |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1336326313 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 006617 (Connecticut) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
The Southeast Permanente Medical Group | 6204829013 | 576 |
Entity Name | The Southeast Permanente Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245266956 PECOS PAC ID: 6204829013 Enrollment ID: O20040407000370 |
Mailing Address | Practice Location Address |
---|---|
Anissa Prefontaine, LCSW 445 Winn Way, Decatur, GA 30030-1707 Ph: (404) 508-7700 | Anissa Prefontaine, LCSW 445 Winn Way, Decatur, GA 30030-1707 Ph: (404) 508-7700 |
Robin C Johnson, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3523 Moonlight Forest Ct, Decatur, GA 30034 Phone: 770-374-1605 | |
Shaina Gordon, Counselor Medicare: Not Enrolled in Medicare Practice Location: 465 Winn Way, 221, Decatur, GA 30030 Phone: 404-292-3810 | |
Sarah Davison, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 445 Winn Way, Decatur, GA 30030 Phone: 404-294-3836 | |
Giselle Amaris Jacob, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 1244 Clairmont Rd Ste 204, Decatur, GA 30030 Phone: 404-818-6535 | |
Mrs. Anna Christina Davis, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 465 Winn Way, Suite 221, Decatur, GA 30030 Phone: 404-292-3810 Fax: 404-292-3848 | |
Jacob Dreiling, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1814 Clairmont Rd, Decatur, GA 30033 Phone: 404-636-1457 Fax: 404-636-7449 | |
Nathaniel Flowers, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3232 Memorial Dr, Decatur, GA 30032 Phone: 678-235-5478 |