| Mr Thomas L Wilson, LPC | |
|
1000 Commissioner Dr, Darien, GA 31305-9487 | |
| (912) 368-3502 | |
| Not Available |
| Full Name | Mr Thomas L Wilson |
|---|---|
| Gender | Male |
| Speciality | Counselor - Mental Health |
| Location | 1000 Commissioner Dr, Darien, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659400646 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | LPC004162 (Georgia) | Primary |
| Entity Name | Atlantic Counseling Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144578832 PECOS PAC ID: 5991941767 Enrollment ID: O20130424000077 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Thomas L Wilson, LPC 1 Great Oak Trl, Savannah, GA 31419-9289 Ph: (912) 443-9515 | Mr Thomas L Wilson, LPC 1000 Commissioner Dr, Darien, GA 31305-9487 Ph: (912) 368-3502 |
Jessica Debarry, LAPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1026 Blount Crossing Rd Se Unit A, Darien, GA 31305 Phone: 912-223-7558 | |
Robert A Green, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1000 Commissioner Dr, Darien, GA 31305 Phone: 912-437-7300 Fax: 912-437-9481 | |
R Jackson Carter, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1000 Commissioner Dr, Darien, GA 31305 Phone: 912-437-9300 Fax: 912-437-9481 | |
Barbara C Strickland, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1000 Commissioner Dr, Darien, GA 31305 Phone: 912-437-9300 Fax: 912-437-9481 | |
Dr. Martha Jane Thompson, LPC; NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1135 North Way, Suite E, Darien, GA 31305 Phone: 912-437-2442 | |
Lisa Marie Futch, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1100b Ca Devillars Rd, Darien, GA 31305 Phone: 478-494-2052 |