| Catherine Wardlaw, MA | |
|
2713 Charles Hardy Pkwy Ste 223, Dallas, GA 30157-9470 | |
| (678) 679-1082 | |
| Not Available |
| Full Name | Catherine Wardlaw |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 2713 Charles Hardy Pkwy Ste 223, Dallas, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679930614 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | LPC010951 (Georgia) | Primary |
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| Entity Name | Thrive Counseling Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215181300 PECOS PAC ID: 0749458420 Enrollment ID: O20120504000149 |
| Mailing Address | Practice Location Address |
|---|---|
| Catherine Wardlaw, MA 2713 Charles Hardy Pkwy, Dallas, GA 30157-9470 Ph: (678) 679-1082 | Catherine Wardlaw, MA 2713 Charles Hardy Pkwy Ste 223, Dallas, GA 30157-9470 Ph: (678) 679-1082 |
Mary Elizabeth Krusac, Counselor Medicare: Not Enrolled in Medicare Practice Location: 118 Birch River Ct, Dallas, GA 30132 Phone: 678-744-8417 | |
Mr. Joseph Baisden Mickler Iii, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 110 Evans Mill Dr, #305, Dallas, GA 30157 Phone: 770-445-6358 Fax: 770-445-7262 | |
Amanda D Lloyd, APC, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 75 Log Cabin Dr Apt 706, Dallas, GA 30157 Phone: 770-410-8353 | |
Kenneth Rowell, CAC II Counselor Medicare: Not Enrolled in Medicare Practice Location: 2713 Charles Hardy Pkwy Ste 233, Dallas, GA 30157 Phone: 855-641-1379 | |
Deborah Noel Scrimo, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 110 Evans Mill Dr Ste 306, Dallas, GA 30157 Phone: 770-324-7734 Fax: 770-324-7734 | |
Ms. Christine J. Mezza, LPC Counselor Medicare: Medicare Enrolled Practice Location: 2260 Gold Mine Rd, Dallas, GA 30157 Phone: 678-978-0464 Fax: 770-505-3190 | |
Jeanine Carson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 311 White Ingram Pkwy, Dallas, GA 30132 Phone: 678-363-7447 |