| Laura Beth Wagar, LPC | |
|
203 Oakside Ln Ste F, Canton, GA 30114-6407 | |
| (678) 213-2194 | |
| (404) 806-1832 |
| Full Name | Laura Beth Wagar |
|---|---|
| Gender | Female |
| Speciality | Mental Health Counselor |
| Experience | 13 Years |
| Location | 203 Oakside Ln Ste F, Canton, Georgia |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376161224 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | LPC009134 (Georgia) | Secondary |
| 101YP2500X | Counselor - Professional | LPC009134 (Georgia) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Personal Recovery Network Llc | 5092611384 | 453 |
| Entity Name | Personal Recovery Network Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881990869 PECOS PAC ID: 5092611384 Enrollment ID: O20120110000096 |
| Mailing Address | Practice Location Address |
|---|---|
| Laura Beth Wagar, LPC 903 Sublime Trl, Canton, GA 30114-7280 Ph: (404) 626-5500 | Laura Beth Wagar, LPC 203 Oakside Ln Ste F, Canton, GA 30114-6407 Ph: (678) 213-2194 |
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 | |
Mr. Frank J. Busbey, L.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 191 Lamar Haley Pkwy, Canton, GA 30114 Phone: 770-704-1600 | |
Mrs. Lauren Moss, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 310 Paper Trail Way Ste 108, Canton, GA 30115 Phone: 678-880-4645 | |
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 |