| Jasmine Harden, LPC | |
|
2621 Olde Ivy Ln, Conyers, GA 30094-5777 | |
| (404) 617-9613 | |
| Not Available |
| Full Name | Jasmine Harden |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 2621 Olde Ivy Ln, Conyers, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891492864 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | LPC013653 (Georgia) | Primary |
| Entity Name | The Southeast Permanente Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245266956 PECOS PAC ID: 6204829013 Enrollment ID: O20040407000370 |
| 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 | Success Brand LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255077061 PECOS PAC ID: 9739546722 Enrollment ID: O20260113000849 |
| Mailing Address | Practice Location Address |
|---|---|
| Jasmine Harden, LPC 2621 Olde Ivy Ln, Conyers, GA 30094-5777 Ph: (404) 617-9613 | Jasmine Harden, LPC 2621 Olde Ivy Ln, Conyers, GA 30094-5777 Ph: (404) 617-9613 |
Mr. Solomon Berewa, LPC Counselor Medicare: Accepting Medicare Assignments Practice Location: 1000 Iris Dr Sw Ste D200, Conyers, GA 30094 Phone: 404-396-7890 |
Angel Jocelin Haye, LPC Counselor Medicare: May Accept Medicare Assignments Practice Location: 2365 Wall St Se Ste 200-04, Conyers, GA 30013 Phone: 404-890-0125 |
Kamia Reid, PHD Counselor Medicare: Not Enrolled in Medicare Practice Location: 2055 Gees Mill Rd Ne, Conyers, GA 30013 Phone: 404-593-0591 |
Crystal N. Broughton, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1775 Parker Rd Se Ste 210, Conyers, GA 30094 Phone: 470-967-8663 Fax: 678-218-4253 |
Mr. Euric Packer, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2055 Gees Mill Rd Ne Ste 315, Conyers, GA 30013 Phone: 404-585-7533 Fax: 770-759-5489 |
Dandrea R Sanders, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1780b Southgate Ln Se, Conyers, GA 30013 Phone: 470-207-2044 |
Leroy Bryan, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1175 Green St Se, Conyers, GA 30012 Phone: 770-929-1470 |