| Derek Struchtemeyer, LPC | |
|
310 Paper Trail Way Ste 106, Canton, GA 30115-5204 | |
| (678) 880-4645 | |
| Not Available |
| Full Name | Derek Struchtemeyer |
|---|---|
| Gender | Male |
| Speciality | Mental Health Counselor |
| Experience | 31 Years |
| Location | 310 Paper Trail Way Ste 106, Canton, Georgia |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215365663 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 002981 (Georgia) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Canton Counseling Llc | 9830639749 | 6 |
| Entity Name | Canton Counseling Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780014720 PECOS PAC ID: 9830639749 Enrollment ID: O20240906000206 |
| Mailing Address | Practice Location Address |
|---|---|
| Derek Struchtemeyer, LPC 310 Paper Trail Way Ste 106, Canton, GA 30115-5204 Ph: (678) 880-4645 | Derek Struchtemeyer, LPC 310 Paper Trail Way Ste 106, Canton, GA 30115-5204 Ph: (678) 880-4645 |
Joy Tulloch, Counselor Medicare: Not Enrolled in Medicare Practice Location: 310 Paper Trail Way Ste 106, Canton, GA 30115 Phone: 678-880-4645 | |
Ms. M Katherine Coolidge, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 1213 Cherry Ln, Canton, GA 30114 Phone: 678-494-6690 Fax: 678-494-9622 | |
Mrs. Lauren Moss, LPC Counselor Medicare: May Accept Medicare Assignments Practice Location: 310 Paper Trail Way Ste 108, Canton, GA 30115 Phone: 678-880-4645 | |
Priscilla F Parsons, Counselor Medicare: Not Enrolled in Medicare Practice Location: 249 Whitetail Cir, Canton, GA 30115 Phone: 404-952-7176 | |
Mary Robin Grove, CRC, LPC Counselor Medicare: Accepting Medicare Assignments Practice Location: 310 Paper Trail Way, 106, Canton, GA 30115 Phone: 678-880-4645 | |
Jennifer Gilreath, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3395 Sixes Rd, Canton, GA 30114 Phone: 678-880-8385 | |
Brooke A Comley, LMSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 3395 Sixes Rd Ste 2302, Canton, GA 30114 Phone: 404-910-3377 |