| Crystal Lynnell Porter, LAPC | |
|
588 E Lake Buckhorn Rd, Temple, GA 30179-5311 | |
| (770) 355-1980 | |
| Not Available |
| Full Name | Crystal Lynnell Porter |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 588 E Lake Buckhorn Rd, Temple, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700606134 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | LPC015748 (Georgia) | Primary |
| Entity Name | Tmc-behavioral Health of West Georgia |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356795462 PECOS PAC ID: 2163714635 Enrollment ID: O20160705000347 |
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Crystal Lynnell Porter, LAPC 588 E Lake Buckhorn Rd, Temple, GA 30179-5311 Ph: (770) 355-1980 | Crystal Lynnell Porter, LAPC 588 E Lake Buckhorn Rd, Temple, GA 30179-5311 Ph: (770) 355-1980 |
Dr. Mary Caroline Albertson, ED.D Counselor Medicare: Not Enrolled in Medicare Practice Location: 159 Edgewater Dr, Temple, GA 30179 Phone: 678-670-9055 |
Mrs. Cotina Houston Stroud, MS, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 805 Windy Mill Ct, Temple, GA 30179 Phone: 256-282-8548 Fax: 256-282-8548 |