| Christine Stoutenburg, LPC | |
|
6842 Grand Hickory Dr, Braselton, GA 30517-6246 | |
| (630) 890-7824 | |
| Not Available |
| Full Name | Christine Stoutenburg |
|---|---|
| Gender | Female |
| Speciality | Mental Health Counselor |
| Experience | 6 Years |
| Location | 6842 Grand Hickory Dr, Braselton, 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 |
|---|---|---|---|
| 1033482054 | NPI | - | NPPES |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sondermind Provider Network Llc | 9537572490 | 1295 |
| 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: O20210225002747 |
| Entity Name | Grow Healthcare Group PA |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20220315000829 |
| Entity Name | Mental Health Specialty Group PA |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801472634 PECOS PAC ID: 8921466228 Enrollment ID: O20230619001228 |
| Mailing Address | Practice Location Address |
|---|---|
| Christine Stoutenburg, LPC 111 N County Farm Rd, Wheaton, IL 60187-3977 Ph: Not Available | Christine Stoutenburg, LPC 6842 Grand Hickory Dr, Braselton, GA 30517-6246 Ph: (630) 890-7824 |
Kelly E. Redwine, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 300 Broadway Avenue, Braselton, GA 30517 Phone: 770-695-7501 |
Cheryl Deluca-johnson, LPC 004168 Counselor Medicare: Not Enrolled in Medicare Practice Location: 2022 Forest Hill Ct, Braselton, GA 30517 Phone: 678-300-6297 |
Angela K. Wilson, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 300 Broadway Ave, Post Office Box 637, Braselton, GA 30517 Phone: 706-447-9050 |
Anna E. Packer, MA, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 300 Broadway Ave, Braselton, GA 30517 Phone: 470-208-3080 |
Jenny Lankford, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1399 New Liberty Way, Braselton, GA 30517 Phone: 770-361-1201 |
Dr. Arvela V Leslie-cozart, EDD Counselor Medicare: Not Enrolled in Medicare Practice Location: 2095 Highway 211 Nw # 2f114, Braselton, GA 30517 Phone: 770-878-4017 |
Sara Beth Brisbois, APC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1247 Tuscany Dr, Suite B-1, Braselton, GA 30517 Phone: 470-239-1347 |