| Mallory Skelton, | |
|
11725 Pointe Pl, Roswell, GA 30076-4636 | |
| (470) 990-9483 | |
| Not Available |
| Full Name | Mallory Skelton |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 11725 Pointe Pl, Roswell, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760257695 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | LPC015769 (Georgia) | Primary |
| 101YP2500X | Counselor - Professional | APC006438 (Georgia) | Secondary |
| Entity Name | Mental Health Specialty Group Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801472634 PECOS PAC ID: 8921466228 Enrollment ID: O20230619001228 |
| Mailing Address | Practice Location Address |
|---|---|
| Mallory Skelton, 800 Highland Oaks Dr Sw, Atlanta, GA 30331-8082 Ph: (404) 423-8061 | Mallory Skelton, 11725 Pointe Pl, Roswell, GA 30076-4636 Ph: (470) 990-9483 |
Sydney Buffington, Counselor Medicare: Not Enrolled in Medicare Practice Location: 500 Sun Valley Dr Ste D2, Roswell, GA 30076 Phone: 770-910-9162 Fax: 770-910-9768 | |
Mrs. Melissa Ragsdale Goodwin, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 601 Bombay Ln, Roswell, GA 30076 Phone: 770-262-2080 Fax: 770-754-4676 | |
Barbara Blake Brown, M.S., L.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 66 Sloan St, Roswell, GA 30075 Phone: 770-595-8999 Fax: 678-226-9683 | |
Mr. Christian Lamar King, LPC Counselor Medicare: Medicare Enrolled Practice Location: 11111 Houze Rd Ste 225, Roswell, GA 30076 Phone: 770-603-0123 | |
Ms. Shannon Burge Wallon, LPC, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1905 Woodstock Rd Ste 3250, Roswell, GA 30075 Phone: -- | |
Kaitlyn Sampson, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 570 Colonial Park Dr Ste 315, Roswell, GA 30075 Phone: 404-492-8187 | |
Beverly Joi Matthews, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 1014 Canton St, Roswell, GA 30075 Phone: 770-993-2676 Fax: 770-993-1118 |