| Mr John William Landrum, | |
|
107 Alex Dr, Chickamauga, GA 30707-4154 | |
| (706) 539-2228 | |
| Not Available |
| Full Name | Mr John William Landrum |
|---|---|
| Gender | Male |
| Speciality | Mental Health Counselor |
| Experience | 33 Years |
| Location | 107 Alex Dr, Chickamauga, Georgia |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619093564 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | LPC004318 (Georgia) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lookout Mountain Community Services | 4880682822 | 20 |
| Entity Name | Lookout Mountain Community Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790782431 PECOS PAC ID: 4880682822 Enrollment ID: O20040506000251 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr John William Landrum, 5217 Cheryl Ln # B, Chattanooga, TN 37415-1833 Ph: (423) 877-4178 | Mr John William Landrum, 107 Alex Dr, Chickamauga, GA 30707-4154 Ph: (706) 539-2228 |
Lei Ann Raines, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 45 Broken Tree, Chickamauga, GA 30707 Phone: 720-237-0952 | |
Ms. Jennifer Elizabeth Holdaway, LAPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 107 Alex Dr, Chickamauga, GA 30707 Phone: 706-539-2680 | |
Janis C Lewis, Counselor Medicare: Not Enrolled in Medicare Practice Location: 662 Grand Center Rd, Chickamauga, GA 30707 Phone: 423-718-6322 | |
Miss Paula Otero Taylor, M.S., LCMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: Po Box 21, Chickamauga, GA 30707 Phone: 142-399-4586 |