| Mr Robert W Dehaven, MS, NCC, LPC, DAPA | |
|
121 Ray Rd, Hazlehurst, GA 31539-5119 | |
| (478) 296-9394 | |
| (478) 296-9394 |
| Full Name | Mr Robert W Dehaven |
|---|---|
| Gender | Male |
| Speciality | Counselor - Mental Health |
| Location | 121 Ray Rd, Hazlehurst, Georgia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023079555 | NPI | - | NPPES |
| 11367944 | Other | GA | CAQH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | LPC003880 (Georgia) | Primary |
| 101YP2500X | Counselor - Professional | LPC003880 (Georgia) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Robert W Dehaven, MS, NCC, LPC, DAPA 121 Ray Rd, Hazlehurst, GA 31539-5119 Ph: (478) 296-9394 | Mr Robert W Dehaven, MS, NCC, LPC, DAPA 121 Ray Rd, Hazlehurst, GA 31539-5119 Ph: (478) 296-9394 |
Melissa Suzanne Register, LPC Counselor Medicare: Medicare Enrolled Practice Location: 72 Medders Rd, Hazlehurst, GA 31539 Phone: 478-733-3673 | |
Mr. Ralph H Edwards Jr., LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 124 E Jarman St, Hazlehurst, GA 31539 Phone: 912-375-2009 Fax: 912-379-0081 | |
Giselle Reddy, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 17 Latimer St, Hazlehurst, GA 31539 Phone: 912-888-8009 Fax: 443-703-7810 |