| Justin Wayne Graves, LCSW | |
|
3131 S Main St, Moultrie, GA 31768-6925 | |
| (229) 891-9443 | |
| Not Available |
| Full Name | Justin Wayne Graves |
|---|---|
| Gender | Male |
| Speciality | Counselor - Mental Health |
| Location | 3131 S Main St, Moultrie, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821596917 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | CSW005842 (Georgia) | Primary |
| Entity Name | Turning Point Care Center Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205809571 PECOS PAC ID: 1052305786 Enrollment ID: O20040414000395 |
| Entity Name | Colquitt Regional Psychiatry Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407459027 PECOS PAC ID: 4981012655 Enrollment ID: O20210419000060 |
| Mailing Address | Practice Location Address |
|---|---|
| Justin Wayne Graves, LCSW Po Box 2876, Moultrie, GA 31776-2876 Ph: (229) 891-9131 | Justin Wayne Graves, LCSW 3131 S Main St, Moultrie, GA 31768-6925 Ph: (229) 891-9443 |
Amanda Owen, LMFT, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 719 S Main St, Moultrie, GA 31768 Phone: 229-456-2022 Fax: 912-550-4909 | |
Ashlyn M Hamilton, Counselor Medicare: Not Enrolled in Medicare Practice Location: 844 Ga Highway 33 S, Moultrie, GA 31788 Phone: 505-821-3628 Fax: 505-856-7103 | |
Ms. Christine Vanessa Williams, LMSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 615 N Main St, Moultrie, GA 31768 Phone: 229-891-7374 Fax: 229-891-7163 | |
April Michelle Cooper, Counselor Medicare: Not Enrolled in Medicare Practice Location: 615 N Main St, Moultrie, GA 31768 Phone: 229-891-7375 | |
Maresa Mckinney, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 719 1st St Se, Moultrie, GA 31768 Phone: 229-891-6223 | |
Julio Antonio Ginel, LMHC, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3892 Old Doerun Rd, Moultrie, GA 31768 Phone: 833-446-3572 Fax: 844-889-5507 |