| Mr Dwayne J Colson, LPC | |
|
3737 Chalker Rd Sw, Thomson, GA 30824-9151 | |
| (404) 985-8696 | |
| Not Available |
| Full Name | Mr Dwayne J Colson |
|---|---|
| Gender | Male |
| Speciality | Counselor - Professional |
| Location | 3737 Chalker Rd Sw, Thomson, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902546542 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | LPC012826 (Georgia) | Primary |
| Entity Name | Psychiatry And Wellness Of Georgia, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528774916 PECOS PAC ID: 7810351608 Enrollment ID: O20230912003693 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Dwayne J Colson, LPC 3737 Chalker Rd Sw, Thomson, GA 30824-9151 Ph: (404) 985-8696 | Mr Dwayne J Colson, LPC 3737 Chalker Rd Sw, Thomson, GA 30824-9151 Ph: (404) 985-8696 |
Chantell Scott, Counselor Medicare: Not Enrolled in Medicare Practice Location: 322 Hospital Dr, Thomson, GA 30824 Phone: 709-595-2548 Fax: 706-595-3070 | |
Mrs. Nisha Gandhi Wilson, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 114 E Hall St, Thomson, GA 30824 Phone: 706-597-1777 | |
Janika Ivey, Counselor Medicare: Not Enrolled in Medicare Practice Location: 654 Main St Ste 6, Thomson, GA 30824 Phone: 706-595-2548 Fax: 706-595-3070 | |
Mr. Charles Edward Jones, LICENSE PROFESSIONAL Counselor Medicare: Not Enrolled in Medicare Practice Location: 114 East Hall St, Thomson, GA 30824 Phone: 706-597-1777 Fax: 706-597-0955 | |
Wanda Sanders, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 114 E Hall St, Thomson, GA 30824 Phone: 706-595-8548 | |
Lisa Modlin, LPC GEORGIA Counselor Medicare: Not Enrolled in Medicare Practice Location: 114 E Hall St, Thomson, GA 30824 Phone: 706-295-2548 | |
Shawnte Michele Wilder, Counselor Medicare: Not Enrolled in Medicare Practice Location: 654 Main St, Thomson, GA 30824 Phone: 706-595-2548 |