Luiz Torreao, | |
139 Henry Pkwy, Mcdonough, GA 30253-6636 | |
(770) 358-5252 | |
Not Available |
Full Name | Luiz Torreao |
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Gender | Male |
Speciality | Counselor - Professional |
Location | 139 Henry Pkwy, Mcdonough, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1942813696 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | LPC011655 (Georgia) | Primary |
Entity Name | Mcintosh Trail Community Service Board |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1336317270 PECOS PAC ID: 6204818669 Enrollment ID: O20040601001239 |
Mailing Address | Practice Location Address |
---|---|
Luiz Torreao, 1770 Neighborhood Walk, Mcdonough, GA 30252-8644 Ph: (678) 481-8776 | Luiz Torreao, 139 Henry Pkwy, Mcdonough, GA 30253-6636 Ph: (770) 358-5252 |
Diamond S Hill, PP Counselor Medicare: Not Enrolled in Medicare Practice Location: 125 S Zack Hinton Pkwy, Mcdonough, GA 30253 Phone: 678-432-3330 | |
Kiarha Lamar, Counselor Medicare: Not Enrolled in Medicare Practice Location: 125 S Zack Hinton Pkwy, Mcdonough, GA 30253 Phone: 678-432-3330 Fax: 678-432-3662 | |
Dr. Joan Marie Hall, PHD, LPC Counselor Medicare: Medicare Enrolled Practice Location: 3174 E Fairview Rd, Mcdonough, GA 30252 Phone: 707-679-0204 | |
Marquita Latrice Johnson, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 40 Jonesboro St, Mcdonough, GA 30253 Phone: 678-809-7291 | |
Tammy L. Amercani, Counselor Medicare: Not Enrolled in Medicare Practice Location: 125 S Zack Hinton Pkwy, Mcdonough, GA 30253 Phone: 678-432-3330 Fax: 678-432-3662 | |
Robert Sowell, M.S. Counselor Medicare: Not Enrolled in Medicare Practice Location: 125 S. Zack Hinton Parkway, Mcdonough, GA 30253 Phone: 678-432-3330 Fax: 678-432-3662 | |
Kenya Latrice Purcell, LAPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1725 Pennsylvania Ave, Mcdonough, GA 30253 Phone: 678-789-3939 |