| Connie J Young-gibraltarik, MED, MA, LPC | |
|
950 Eagles Landing Pkwy, Suite 665, Stockbridge, GA 30281-7343 | |
| (510) 914-7540 | |
| (770) 629-2139 |
| Full Name | Connie J Young-gibraltarik |
|---|---|
| Gender | Female |
| Speciality | Mental Health Counselor |
| Experience | 17 Years |
| Location | 950 Eagles Landing Pkwy, Stockbridge, 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 |
|---|---|---|---|
| 1083153142 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | LPC009420 (Georgia) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Iora Senior Health Llc | 0143520189 | 123 |
| Iora Health Georgia Pc | 1850644394 | 24 |
| Entity Name | Iora Senior Health Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518446194 PECOS PAC ID: 0143520189 Enrollment ID: O20181029003060 |
| Entity Name | Iora Health Georgia Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457846727 PECOS PAC ID: 1850644394 Enrollment ID: O20181030001712 |
| Mailing Address | Practice Location Address |
|---|---|
| Connie J Young-gibraltarik, MED, MA, LPC 950 Eagles Landing Pkwy, Suite 665, Stockbridge, GA 30281-7343 Ph: (510) 914-7540 | Connie J Young-gibraltarik, MED, MA, LPC 950 Eagles Landing Pkwy, Suite 665, Stockbridge, GA 30281-7343 Ph: (510) 914-7540 |
Dr. Fredrick Antonia Thrasher, PHD, LPC, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 110 Eagle Spring Dr Ste D, Stockbridge, GA 30281 Phone: 678-565-1400 Fax: 866-945-9685 | |
Shamia Lanae Turlington, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1702 Hudson Bridge Rd, Stockbridge, GA 30281 Phone: 770-558-7956 | |
Mr. Meredith Cartier Turner, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: Po Box 1246, Stockbridge, GA 30281 Phone: 478-443-1944 | |
Miss Marta Greer, M.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 3887 Walt Stephens Rd, Stockbridge, GA 30281 Phone: 770-371-6191 | |
Onteria Harris, Counselor Medicare: Not Enrolled in Medicare Practice Location: 301 Country Club Dr, Stockbridge, GA 30281 Phone: 678-782-7272 | |
Ms. Keisha Nichole Hood, MAMFT, LMFT, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 385 Country Club Dr, Suite E, Stockbridge, GA 30281 Phone: 678-671-9908 | |
Grequenceo Coger, M.ED Counselor Medicare: Not Enrolled in Medicare Practice Location: 1817 Saint Ives Xing, Stockbridge, GA 30281 Phone: 678-328-9571 |