| Mr Marvin Theadore Keaton Iii, MA, LCMHCS, LCAS,CSI | |
|
6715 Hockett Country Ln, Pleasant Garden, NC 27313-8262 | |
| (336) 508-0714 | |
| Not Available |
| Full Name | Mr Marvin Theadore Keaton Iii |
|---|---|
| Gender | Male |
| Speciality | Mental Health Counselor |
| Experience | 18 Years |
| Location | 6715 Hockett Country Ln, Pleasant Garden, North Carolina |
| 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 |
|---|---|---|---|
| 1942518048 | NPI | - | NPPES |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Saved Health Inc | 2860823101 | 15 |
| Entity Name | Saved Health Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740762160 PECOS PAC ID: 2860823101 Enrollment ID: O20200520002815 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Marvin Theadore Keaton Iii, MA, LCMHCS, LCAS,CSI 6715 Hockett Country Ln, Pleasant Garden, NC 27313-8262 Ph: (336) 508-0714 | Mr Marvin Theadore Keaton Iii, MA, LCMHCS, LCAS,CSI 6715 Hockett Country Ln, Pleasant Garden, NC 27313-8262 Ph: (336) 508-0714 |
Lisa Tofano Hathaway, MBA, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 4558 Pleasant Garden Rd, Pleasant Garden, NC 27313 Phone: 336-338-9291 | |
Dr. Karen Meadows, LCMHCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 4558 Pleasant Garden Rd, Pleasant Garden, NC 27313 Phone: 336-338-9291 | |
Mrs. Monica Jones, LCMHCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 4819 Pleasant Garden Rd, Pleasant Garden, NC 27313 Phone: 336-338-9291 | |
Alicia Brown, LCMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4811 Pleasant Garden Rd, Pleasant Garden, NC 27313 Phone: 336-601-4551 |