| Kristen Williams, LPC | |
|
142 Evergreen Trl, Cartersville, GA 30121-4201 | |
| (770) 655-1406 | |
| Not Available |
| Full Name | Kristen Williams |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 142 Evergreen Trl, Cartersville, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043798481 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Secondary |
| 101YP2500X | Counselor - Professional | E.2203003 (Ohio) | Primary |
| Entity Name | Life Bridge Therapy Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811510308 PECOS PAC ID: 2668891847 Enrollment ID: O20201008000325 |
| Entity Name | Sondermind Provider Network Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760854442 PECOS PAC ID: 9537572490 Enrollment ID: O20210316002509 |
| Mailing Address | Practice Location Address |
|---|---|
| Kristen Williams, LPC 25000 Euclid Ave Ste 305, Euclid, OH 44117-2646 Ph: (216) 232-6468 | Kristen Williams, LPC 142 Evergreen Trl, Cartersville, GA 30121-4201 Ph: (770) 655-1406 |
Kara Honeycutt, Counselor Medicare: Not Enrolled in Medicare Practice Location: 15 Greenmont Ct Sw, Cartersville, GA 30120 Phone: 177-084-2736 | |
Winston-et Brobbey, Counselor Medicare: Not Enrolled in Medicare Practice Location: 483 E Main St, Cartersville, GA 30121 Phone: 770-334-3708 Fax: 770-337-3877 | |
Rose Makimei, Counselor Medicare: Not Enrolled in Medicare Practice Location: 218 Stonewall St, Cartersville, GA 30120 Phone: 770-386-1907 | |
Chaz Mezick, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1 Goodyear Ave, Cartersville, GA 30120 Phone: 404-764-0827 | |
Christina Lois Wright, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 116 Center Rd Se, Cartersville, GA 30121 Phone: 678-974-9852 | |
Joryell Kinchen-miller, Counselor Medicare: Not Enrolled in Medicare Practice Location: 483 E Main St, Cartersville, GA 30121 Phone: 732-814-1477 |