| Melissa Suzanne Register, LPC | |
|
72 Medders Rd, Hazlehurst, GA 31539-4216 | |
| (478) 733-3673 | |
| Not Available |
| Full Name | Melissa Suzanne Register |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 72 Medders Rd, Hazlehurst, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134813561 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 0161 (Georgia) | Secondary |
| 101YP2500X | Counselor - Professional | 0161012497 (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 |
|---|---|
| Melissa Suzanne Register, LPC 72 Medders Rd, Hazlehurst, GA 31539-4216 Ph: (478) 733-3673 | Melissa Suzanne Register, LPC 72 Medders Rd, Hazlehurst, GA 31539-4216 Ph: (478) 733-3673 |
Mr. Robert W. Dehaven, M.S., NCC, LPC, DAPA Counselor Medicare: Not Enrolled in Medicare Practice Location: 121 Ray Rd, Hazlehurst, GA 31539 Phone: 478-296-9394 Fax: 478-296-9394 | |
Mr. Ralph H Edwards Jr., LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 124 E Jarman St, Hazlehurst, GA 31539 Phone: 912-375-2009 Fax: 912-379-0081 | |
Giselle Reddy, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 17 Latimer St, Hazlehurst, GA 31539 Phone: 912-888-8009 Fax: 443-703-7810 |