| Mr Paul R Hibbard Jr, | |
|
409 W 10th St Ne, Rome, GA 30165-2640 | |
| (706) 406-5092 | |
| Not Available |
| Full Name | Mr Paul R Hibbard Jr |
|---|---|
| Gender | Male |
| Speciality | Mental Health Counselor |
| Experience | 11 Years |
| Location | 409 W 10th St Ne, Rome, 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 |
|---|---|---|---|
| 1437502069 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | LPC013888 (Georgia) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Highland Rivers Community Service Board | 9032000245 | 58 |
| Entity Name | Highland Rivers Community Service Board |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447256243 PECOS PAC ID: 9032000245 Enrollment ID: O20040324001204 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Paul R Hibbard Jr, 409 W 10th St Ne, Rome, GA 30165-2640 Ph: (706) 406-5093 | Mr Paul R Hibbard Jr, 409 W 10th St Ne, Rome, GA 30165-2640 Ph: (706) 406-5092 |
Mary Beth Housch, Counselor Medicare: Not Enrolled in Medicare Practice Location: 701 E 2nd Ave Sw, Rome, GA 30161 Phone: 706-506-6071 | |
Kenneth Tyrone Jones Jr., Counselor Medicare: Not Enrolled in Medicare Practice Location: 415 Robin Hood Rd Ne, Rome, GA 30161 Phone: 706-409-3956 | |
Greta Willoughby, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 18 Ridge Dr Sw, Rome, GA 30165 Phone: 706-506-1079 Fax: 706-233-8335 | |
Carrie Marie Edge, MC Counselor Medicare: Not Enrolled in Medicare Practice Location: 701 E 2nd Ave Sw, Rome, GA 30161 Phone: 706-413-2421 | |
Kara Hicks, Counselor Medicare: Not Enrolled in Medicare Practice Location: 160 Three Rivers Dr Ne, Rome, GA 30161 Phone: 706-622-3681 | |
Marie Fraser, Counselor Medicare: Medicare Enrolled Practice Location: 14 Wagnon Ct Se, Rome, GA 30161 Phone: 770-853-3627 | |
Mrs. Julie Oglesby Allen, MA, LAPC, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1 S Broad St Sw Ste 5, Rome, GA 30161 Phone: 706-314-8696 |