| Mr Joel David Vandenbergh, LPC | |
| 
					601 11th Ave, Albany, GA 31701-1645  | |
| (229) 430-4140 | |
| (229) 430-4059 | 
| Full Name | Mr Joel David Vandenbergh | 
|---|---|
| Gender | Male | 
| Speciality | Counselor - Professional | 
| Location | 601 11th Ave, Albany, Georgia | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1235402587 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 101YP2500X | Counselor - Professional | LPC006611 (Georgia) | Primary | 
| Entity Name | Albany Area Community Svc. Board | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1063464212 PECOS PAC ID: 9032190483 Enrollment ID: O20040601000373  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Mr Joel David Vandenbergh, LPC 1120 W Broad Ave, Suite C-6, Albany, GA 31707-4397 Ph: (229) 430-0416  | Mr Joel David Vandenbergh, LPC 601 11th Ave, Albany, GA 31701-1645 Ph: (229) 430-4140  | 
Susan Hardie, LPC Counselor Medicare: Medicare Enrolled Practice Location: 417 W 3rd Ave, Albany, GA 31701 Phone: 229-312-7001 Fax: 229-312-7006  | |
Cynthia Morrell,  Counselor Medicare: Medicare Enrolled Practice Location: 506 N Jackson St, Albany, GA 31701 Phone: 229-889-7200 Fax: 229-889-7393  | |
Dena Payn,  Counselor Medicare: Not Enrolled in Medicare Practice Location: 1211 Palmyra Rd, Albany, GA 31701 Phone: 229-439-8686  | |
Mrs. Lateria Nicole Allen, M.ED., LPC, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2302 Dawson Road, Suite 102, Albany, GA 31707 Phone: 229-329-1580  | |
Malcolm Rundell Bynum, LPC Counselor Medicare: Medicare Enrolled Practice Location: 321 William Jr St, Albany, GA 31707 Phone: 229-430-5100  | |
Velsenna King,  Counselor Medicare: Not Enrolled in Medicare Practice Location: 2631 Lonesome Rd, Albany, GA 31721 Phone: 229-296-4442  | |
Mr. Roderick Mcleod Wilcox, LCSW, MFT Counselor Medicare: Accepting Medicare Assignments Practice Location: 1216 Whispering Pines Rd, Albany, GA 31707 Phone: 229-435-1729 Fax: 229-435-1720  |