| Lyvonna Vonshell Chisholm, | |
|
250 Cromer St, Savannah, GA 31407-4801 | |
| (912) 844-5629 | |
| Not Available |
| Full Name | Lyvonna Vonshell Chisholm |
|---|---|
| Gender | Female |
| Speciality | Mental Health Counselor |
| Experience | 12 Years |
| Location | 250 Cromer St, Savannah, 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 |
|---|---|---|---|
| 1023501640 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | LPC010074 (Georgia) | Primary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Curtis V. Cooper Primary Health Care, Inc. | 4789667015 | 23 |
| Entity Name | Curtis V. Cooper Primary Health Care, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750314183 PECOS PAC ID: 4789667015 Enrollment ID: O20040609000352 |
| Mailing Address | Practice Location Address |
|---|---|
| Lyvonna Vonshell Chisholm, 250 Cromer St, Savannah, GA 31407-4801 Ph: (912) 844-5629 | Lyvonna Vonshell Chisholm, 250 Cromer St, Savannah, GA 31407-4801 Ph: (912) 844-5629 |
Tye Walcott, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 125 Fahm St, Savannah, GA 31401 Phone: 912-344-9403 | |
Ms. E Delores Hughes, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 6400 Waters Avenue, Savannah, GA 31409 Phone: 912-345-0987 | |
Catherine Mcclure Miller, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 905 Reita St, Savannah, GA 31410 Phone: 904-477-1466 | |
Christadora Clymer, LPC Counselor Medicare: Accepting Medicare Assignments Practice Location: 408 E Bolton St, Savannah, GA 31401 Phone: 912-713-1830 | |
Dr. Clayton Vance Martin, PHD Counselor Medicare: Not Enrolled in Medicare Practice Location: 6711 Forest Park Dr, Savannah, GA 31406 Phone: 404-449-3028 | |
Averie Jacqueline Booth, Counselor Medicare: Not Enrolled in Medicare Practice Location: 450 Mall Bulv, Suite E, Savannah, GA 31406 Phone: 912-349-4955 | |
Katelinn Michelle Sturdevant, Counselor Medicare: Not Enrolled in Medicare Practice Location: 408 E Bolton St, Savannah, GA 31401 Phone: 912-447-5530 Fax: 912-447-4613 |