| Mr Mike Latella, CADC-II | |
|
111 Petrol Pt Ste A-3, Peachtree City, GA 30269-1550 | |
| (678) 568-9049 | |
| Not Available |
| Full Name | Mr Mike Latella |
|---|---|
| Gender | Male |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 111 Petrol Pt Ste A-3, Peachtree City, Georgia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629624382 | NPI | - | NPPES |
| 3918 | Other | GA | GA CERTIFIED DRUG AND ALCOHOL EVALUATOR NUMBER |
| EO56 | Other | GA | CERTIFIED TELE-MEDICAL ELECTRONIC DRUG AND ALCOHOL COUNSELOR |
| 1241 | Other | GA | GA CERTIFIED ALCOHOL AND DRUG COUNSELOR LEVEL II NUMBER |
| 809429 | Other | GA | INTERNATIONALLY CERTIFIED ALCOHOL AND DRUG COUNSELOR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 1241 (Georgia) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Mike Latella, CADC-II 111 Petrol Pt Ste A-3, Peachtree City, GA 30269-1550 Ph: (678) 568-9049 | Mr Mike Latella, CADC-II 111 Petrol Pt Ste A-3, Peachtree City, GA 30269-1550 Ph: (678) 568-9049 |
Abigail Drew Abel, Counselor Medicare: Not Enrolled in Medicare Practice Location: 211 Prime Pt, Building 2 Suite D, Peachtree City, GA 30269 Phone: 678-788-6025 | |
Keishla Suazo-padilla, Counselor Medicare: Not Enrolled in Medicare Practice Location: 200 Westpark Dr Ste 325, Peachtree City, GA 30269 Phone: 770-632-5444 | |
Tonya Gilmore, Counselor Medicare: Not Enrolled in Medicare Practice Location: 317 Welton Way, Peachtree City, GA 30269 Phone: 678-852-8024 | |
Ann Davidson Sheerin, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 200 Westpark Dr Ste 130, Peachtree City, GA 30269 Phone: 404-747-7709 | |
Sathiya Priya Palanisamy, Counselor Medicare: Not Enrolled in Medicare Practice Location: 6000 Shakerag Hl Ste 314, Peachtree City, GA 30269 Phone: 404-977-6712 | |
Crystal Johnson, LPC Counselor Medicare: Medicare Enrolled Practice Location: 1303 Commerce Dr, Peachtree City, GA 30269 Phone: 770-862-6088 | |
Ashley Ann Bonvillain, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 23 Eastbrook Bnd, Suite 200, Peachtree City, GA 30269 Phone: 770-486-1140 Fax: 678-669-2693 |