| Jason Chandler Brewer, | |
|
2089 Teron Trce Ste 220, Dacula, GA 30019-1628 | |
| (229) 800-9695 | |
| (617) 807-0958 |
| Full Name | Jason Chandler Brewer |
|---|---|
| Gender | Male |
| Speciality | Counselor - Professional |
| Location | 2089 Teron Trce Ste 220, Dacula, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770381089 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | LPC013056 (Georgia) | Primary |
| Entity Name | Thrive Counseling Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215181300 PECOS PAC ID: 0749458420 Enrollment ID: O20120504000149 |
| Mailing Address | Practice Location Address |
|---|---|
| Jason Chandler Brewer, Po Box 748465, Atlanta, GA 30374-8465 Ph: (855) 284-7483 | Jason Chandler Brewer, 2089 Teron Trce Ste 220, Dacula, GA 30019-1628 Ph: (229) 800-9695 |
Daniel Mariney, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2078 Teron Trce Ste 150, Dacula, GA 30019 Phone: 352-284-4379 | |
Mrs. Dustin Leigh Shandy, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3611 Braselton Hwy Ste 201, Dacula, GA 30019 Phone: 678-280-1390 | |
Mrs. Meagan Ross, Counselor Medicare: Medicare Enrolled Practice Location: 1060 River Valley Dr, Dacula, GA 30019 Phone: 567-277-5638 | |
Portia Grimes, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2995 Old Peachtree Rd Apt 430, Dacula, GA 30019 Phone: 470-893-3593 Fax: 678-691-4366 | |
Kimberly Morris, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2592 Freemans Walk Path, Dacula, GA 30019 Phone: 310-945-7460 | |
Mrs. Daja Shanay Robinson, MS, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1039 Victoria Walk Ln, Dacula, GA 30019 Phone: 678-926-9848 | |
Stephanie Sheets, APC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3611 Braselton Hwy Ste 102, Dacula, GA 30019 Phone: 678-280-1390 |