Mason Richard Pacek, LMFT | |
1811 Green Cir, Valdosta, GA 31602-2734 | |
(864) 247-5263 | |
Not Available |
Full Name | Mason Richard Pacek |
---|---|
Gender | Male |
Speciality | Marriage & Family Therapist |
Location | 1811 Green Cir, Valdosta, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1831777440 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
106H00000X | Marriage & Family Therapist | MFT001821 (Georgia) | Primary |
Entity Name | Grow Healthcare Group Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20220315000829 |
Mailing Address | Practice Location Address |
---|---|
Mason Richard Pacek, LMFT 1811 Green Cir, Valdosta, GA 31602-2734 Ph: (229) 244-9688 | Mason Richard Pacek, LMFT 1811 Green Cir, Valdosta, GA 31602-2734 Ph: (864) 247-5263 |
Kali Valeria Hendricks, LAMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 3312 N Oak Street Ext Bldg D, Valdosta, GA 31605 Phone: 229-244-2030 | |
Eveny Griffin, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1801 Canterbury Dr Ste C, Valdosta, GA 31602 Phone: 229-244-2030 | |
Diane Mcpipkin, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 3541 N Crossing Cir, Valdosta, GA 31602 Phone: 229-244-4200 Fax: 229-244-4995 | |
Dr. Leah Carol Mcmillan, DPA, LMFT Couples Therapy Medicare: Medicare Enrolled Practice Location: 3790 Old Us Highway 41 N Ste A, Valdosta, GA 31602 Phone: 229-262-1000 | |
Karla M Peterson, Couples Therapy Medicare: Medicare Enrolled Practice Location: 3790 Old Us Hwy 41 N , Ste A, Valdosta, GA 31602 Phone: 229-262-1000 Fax: 229-262-1085 | |
Mrs. Alexis Caldwell Swords, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 103 Wayne Ave, Valdosta, GA 31602 Phone: 229-244-9688 Fax: 229-244-5354 | |
Mrs. Laurie A Bajalia, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1803 Canterbury Dr Ste C, Valdosta, GA 31602 Phone: 229-588-4051 Fax: 229-588-4051 |