| Daniel Hamilton, | |
|
260a Whigham Dairy Rd, Bainbridge, GA 39817-8032 | |
| (229) 329-1277 | |
| (323) 792-8177 |
| Full Name | Daniel Hamilton |
|---|---|
| Gender | Male |
| Speciality | Counselor - Mental Health |
| Location | 260a Whigham Dairy Rd, Bainbridge, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457708190 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | LPC015112 (Georgia) | Primary |
| Entity Name | Moving Forward Therapeutic Services, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942037932 PECOS PAC ID: 1456873538 Enrollment ID: O20250318002423 |
| Mailing Address | Practice Location Address |
|---|---|
| Daniel Hamilton, 1224 Vada Rd, Bainbridge, GA 39817-8361 Ph: (423) 742-1432 | Daniel Hamilton, 260a Whigham Dairy Rd, Bainbridge, GA 39817-8032 Ph: (229) 329-1277 |
David Lee Breault, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1005 S Washington St, Bainbridge, GA 39819 Phone: 229-248-2683 | |
Pauline Maxwell, LPC Counselor Medicare: Medicare Enrolled Practice Location: 111 S Monroe St Apt C, Bainbridge, GA 39817 Phone: 229-220-7348 | |
Kathryn Culverson Coe, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 102 N Broad St, Bainbridge, GA 39817 Phone: 229-416-4737 | |
Linda Turral, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 208 S Broad St, Bainbridge, GA 39817 Phone: 229-243-1633 Fax: 229-243-9446 | |
Regina W Holley, LPC Counselor Medicare: Medicare Enrolled Practice Location: 411 Bainbridge St, Bainbridge, GA 39819 Phone: 229-220-5786 | |
Christina Bush, Counselor Medicare: Not Enrolled in Medicare Practice Location: 235 State Hospital Rd, Bainbridge, GA 39817 Phone: 229-205-3870 | |
Ms. Tina Fleming, CPCS, LPC, CRC Counselor Medicare: Not Enrolled in Medicare Practice Location: 617 S West St, Bainbridge, GA 39819 Phone: 229-246-9050 |