Cheryl Marie Gravitt, LPC | |
745 S Milledge Ave Ste 1a, Athens, GA 30605-1292 | |
(706) 498-9560 | |
Not Available |
Full Name | Cheryl Marie Gravitt |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 745 S Milledge Ave Ste 1a, Athens, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1689326688 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | LPC014639 (Georgia) | Primary |
101YP2500X | Counselor - Professional | 008337 (Georgia) | Secondary |
Entity Name | Personal Recovery Network Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881990869 PECOS PAC ID: 5092611384 Enrollment ID: O20120110000096 |
Mailing Address | Practice Location Address |
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Cheryl Marie Gravitt, LPC 4800 N Scottsdale Rd Ste 2500, Scottsdale, AZ 85251-7630 Ph: (706) 498-9560 | Cheryl Marie Gravitt, LPC 745 S Milledge Ave Ste 1a, Athens, GA 30605-1292 Ph: (706) 498-9560 |
Mrs. Tedra Dorothy Lucille Shriner, ED.S, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 101 Southcreek Pl, Athens, GA 30606 Phone: 706-766-5794 | |
Stephanie Kamila Doblack-mellum, BS Counselor Medicare: Not Enrolled in Medicare Practice Location: 110 Carlton St, Athens, GA 30602 Phone: 706-542-8508 | |
Matthew Tyler Vance, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 345 Holman Ave, Athens, GA 30606 Phone: 404-693-5293 | |
Michael Creech, Counselor Medicare: Not Enrolled in Medicare Practice Location: 250 North Ave, Athens, GA 30601 Phone: 706-542-9739 | |
John Glenn Helmly, LPC Counselor Medicare: Medicare Enrolled Practice Location: 1435 Oglethorpe Ave, Athens, GA 30606 Phone: 706-549-7755 | |
Beverly Anne Grant, LPC, CAADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 140 Sedgefield Dr, Athens, GA 30606 Phone: 706-255-1803 | |
Dr. Terrence Love Jr., PSY.D., LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 585 Research Dr Ste D, Athens, GA 30605 Phone: 706-383-7401 |